Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1053702761 |
---|---|
Provider Name | Mrs. Kathleen Ellen Hill |
First Address | Meridian, MS 39302-5208 |
Second Address | Meridian, MS 39301-6113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2015 |
Last Update Date | 23/02/2015 |