Healthcare Provider Details

I. General information

NPI: 1326968199
Provider Name (Legal Business Name): SUZANNE KERKHOF HILSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 LEE BRANCH LN
BIRMINGHAM AL
35242-7298
US

IV. Provider business mailing address

1512 WELLINGTON RD
BIRMINGHAM AL
35209-4019
US

V. Phone/Fax

Practice location:
  • Phone: 205-725-7092
  • Fax:
Mailing address:
  • Phone: 256-479-0408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16498
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: