Healthcare Provider Details

I. General information

NPI: 1811836851
Provider Name (Legal Business Name): HOLLIE S KILBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 14TH ST NE
HICKORY NC
28601-2731
US

IV. Provider business mailing address

1217 14TH ST NE
HICKORY NC
28601-2731
US

V. Phone/Fax

Practice location:
  • Phone: 828-464-3191
  • Fax: 828-466-0063
Mailing address:
  • Phone: 828-464-3191
  • Fax: 828-466-0063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: