Healthcare Provider Details

I. General information

NPI: 1780646992
Provider Name (Legal Business Name): JOHN KIMBROUGH HILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 10/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 6TH AVE W STE 100
HENDERSONVILLE NC
28739-4137
US

IV. Provider business mailing address

PO BOX 27877
SALT LAKE CITY UT
84127-0877
US

V. Phone/Fax

Practice location:
  • Phone: 828-692-8045
  • Fax: 828-692-6630
Mailing address:
  • Phone: 828-694-8350
  • Fax: 828-694-7654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number200201474
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: