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NPI Code Detail

MEDICARE: HILLARY KINGMAN

MEDICARE: HILLARY KINGMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist36552CA

General Provider Information

NPI Number : 1477128734
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILLARY KINGMAN
Provider Business Mailing Address
First Line : 1129 BISHOP ST
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-5405
Country : US
Telephone Number : 925-984-1545
Fax Number :
Provider Business Practice Location Address
First Line : 520 CHADBOURNE RD
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-9656
Country : US
Telephone Number : 707-366-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2021
Last Update Date : 03/16/2026

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Directions to “ HILLARY KINGMAN ” Practice Location

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