Healthcare Provider Details

I. General information

NPI: 1760914196
Provider Name (Legal Business Name): KELLY LYNN HILL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 07/26/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 TULANE AVE 2ND FLOOR, TULANE ORTHOPEDICS
NEW ORLEANS LA
70112-2632
US

IV. Provider business mailing address

1430 TULANE AVE FL 2
NEW ORLEANS LA
70112-2632
US

V. Phone/Fax

Practice location:
  • Phone: 650-303-9844
  • Fax:
Mailing address:
  • Phone: 504-988-2177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number338020
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: