Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 20488 | KY |
NPI | 1235130360 |
---|---|
Provider Name | John Sylvester Hill |
First Address | Skyland, NC 28776-2209 |
Second Address | Lexington, KY 40503-2973 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 25/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1275304 | MEDICARE INDIVIDUAL # (01) | KY |
64204886 | (05) | KY |
7100172090 | (05) | KY |
C73516 | (02) |