Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 2011019226 | MO |
N | 207PE0004X | Emergency Medical Services | 2011019226 | MO |
NPI | 1114199817 |
---|---|
Provider Name | Mrs. Emily Anne Hillman |
First Address | Kansas City, MO 64108-2602 |
Second Address | Kansas City, MO 64108-2640 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2008 |
Last Update Date | 17/12/2020 |