Healthcare Provider Details

I. General information

NPI: 1104165000
Provider Name (Legal Business Name): MRS. KRISTIN ANNE HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2013
Last Update Date: 02/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5204 E 254TH ST UNITED STATES
CLEVELAND MO
64734-8133
US

IV. Provider business mailing address

5204 E 254TH ST UNITED STATES
CLEVELAND MO
64734-8133
US

V. Phone/Fax

Practice location:
  • Phone: 816-250-2951
  • Fax: 816-213-6174
Mailing address:
  • Phone: 816-250-2951
  • Fax: 816-213-6174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: