| Doctor Name: | MR. KENNETH HILL |
| NPI Number: | 1003915695 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 249 |
| Business Practice Address: | 1826 Veterans Blvd Dublin, GA - 31021 |
| Business Phone Number: | 4782721210 |
| Business Fax Number: | |
| Mailing Address: | 219 Huntington Drive, DUBLIN |
| State: | GA |
| Postal Code: | 31021 |
| Phone Number: | 4782721210 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 249 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |