Doctor Name: | KIMBERLY HILL |
NPI Number: | 1205248093 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1798 |
Business Practice Address: | 3000 Lincoln St Beatrice, NE - 683103319 |
Business Phone Number: | 4022399920 |
Business Fax Number: | |
Mailing Address: | 5401 S 79th St, LINCOLN |
State: | NE |
Postal Code: | 685166335 |
Phone Number: | 4027393513 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2014 |
NPI Last Update Date: | 05/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |