Healthcare Provider Details

I. General information

NPI: 1134035777
Provider Name (Legal Business Name): KENNETH ULLYESSES HILL JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 PARK RD NW APT 419
WASHINGTON DC
20010-3631
US

IV. Provider business mailing address

1347 BARNABY TER SE
WASHINGTON DC
20032-4306
US

V. Phone/Fax

Practice location:
  • Phone: 202-329-2032
  • Fax:
Mailing address:
  • Phone: 202-553-8311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: