Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 31306 | KY |
Y | 207VX0000X | Obstetrician | 31306 | KY |
NPI | 1396737433 |
---|---|
Provider Name | Dr. Pamela M Hill |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40207-4707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 19/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64070162 | (05) | KY |
G76496 | (02) |