Healthcare Provider Details

I. General information

NPI: 1205717485
Provider Name (Legal Business Name): NATHANAEL EARL HILL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 E ELKINS ST
STANTON KY
40380-2311
US

IV. Provider business mailing address

236 W MAIN ST
MT STERLING KY
40353-1348
US

V. Phone/Fax

Practice location:
  • Phone: 606-663-2511
  • Fax: 606-663-0711
Mailing address:
  • Phone: 859-404-7686
  • Fax: 859-498-7314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number022354
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: