Healthcare Provider Details

I. General information

NPI: 1952485682
Provider Name (Legal Business Name): HILL & KITTRELL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 THOMSON DR
LYNCHBURG VA
24501-1006
US

IV. Provider business mailing address

1801 THOMSON DR
LYNCHBURG VA
24501-1006
US

V. Phone/Fax

Practice location:
  • Phone: 434-947-3933
  • Fax:
Mailing address:
  • Phone: 434-947-3933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateVA

VIII. Authorized Official

Name: ELLEN C HENDRICKS
Title or Position: MANAGER
Credential:
Phone: 434-947-3933