Healthcare Provider Details

I. General information

NPI: 1639778293
Provider Name (Legal Business Name): KILE HOFFMAN HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2020
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 KINGS HWY N STE 101
CHERRY HILL NJ
08034-1909
US

IV. Provider business mailing address

1050 KINGS HWY N STE 101
CHERRY HILL NJ
08034-1909
US

V. Phone/Fax

Practice location:
  • Phone: 856-438-5354
  • Fax: 856-435-5691
Mailing address:
  • Phone: 856-438-5354
  • Fax: 856-435-5691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number25MG00148500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: