Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | K3P8N4K5 | MO |
NPI | 1073111399 |
---|---|
Provider Name | Valerie A Hill |
First Address | Kansas City, MO 64152-6036 |
Second Address | Kansas City, MO 64152-6036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2020 |
Last Update Date | 09/10/2020 |