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1205248093 NPI number — KIMBERLY HILL PA-C

NPI Number: 1205248093
Health Care Provider/Practitioner: KIMBERLY HILL PA-C

Information about “1205248093” NPI (KIMBERLY HILL PA-C) exists in 1205248093 in HTML format HTML  |  1205248093 in plain Text format TXT  |  1205248093 in PDF (Portable Document Format) PDF  |  1205248093 in an XML format XML  formats.

NPI Number : 1205248093 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205248093",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HILL",
    "FirstName": "KIMBERLY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WALTER",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4333 S 86TH ST STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINCOLN",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68526-9261",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-483-8500",
    "MailingAddressFaxNumber": "402-483-8501",
    "FirstLinePracticeLocationAddress": "4333 S 86TH ST STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68526-9261",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-483-8500",
    "PracticeLocationAddressFaxNumber": "402-483-8501",
    "EnumerationDate": "05/28/2014",
    "LastUpdateDate": "03/14/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": "1798",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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