MEDICARE: MRS. RHONDA KAYE HILER APRN

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	363LP0200X	Pediatric Nurse Practitioner	3004345	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1154374759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RHONDA KAYE HILER APRN

Provider Business Mailing Address
First Line	:	496 SOUTHLAND DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-1827
Country	:	US
Telephone Number	:	859-288-2392
Fax Number	:	859-721-3918

Provider Business Practice Location Address
First Line	:	218 MANDALAY RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-1333
Country	:	US
Telephone Number	:	859-288-2425
Fax Number	:	859-721-3918

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	05/23/2019

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