MEDICARE: KEVIN K HILL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35071991H	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110178787	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063408177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN K HILL M.D.

Provider Business Mailing Address
First Line	:	201 DUEBER AVE SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44706-1164
Country	:	US
Telephone Number	:	330-453-4000
Fax Number	:	330-456-2866

Provider Business Practice Location Address
First Line	:	201 DUEBER AVE SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44706-1164
Country	:	US
Telephone Number	:	330-453-4000
Fax Number	:	330-456-2866

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	01/07/2010

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