Provider Demographics
NPI:1104165000
Name:HILL, KRISTIN ANNE
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:ANNE
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5204 E 254TH ST
Mailing Address - Street 2:UNITED STATES
Mailing Address - City:CLEVELAND
Mailing Address - State:MO
Mailing Address - Zip Code:64734-8133
Mailing Address - Country:US
Mailing Address - Phone:816-250-2951
Mailing Address - Fax:816-213-6174
Practice Address - Street 1:5204 E 254TH ST
Practice Address - Street 2:UNITED STATES
Practice Address - City:CLEVELAND
Practice Address - State:MO
Practice Address - Zip Code:64734-8133
Practice Address - Country:US
Practice Address - Phone:816-250-2951
Practice Address - Fax:816-213-6174
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider