Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 01-04386 | KS |
NPI | 1417086851 |
---|---|
Provider Name | Dr. Kevin P. Hilger |
First Address | Olathe, KS 66062-2288 |
Second Address | Olathe, KS 66062-2288 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 08/07/2007 |