Provider Demographics
NPI:1962696690
Name:DEHAAN-HILL, KALA ROBIN (WHCNP, RN)
Entity type:Individual
Prefix:MRS
First Name:KALA
Middle Name:ROBIN
Last Name:DEHAAN-HILL
Suffix:
Gender:F
Credentials:WHCNP, RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:2301 OHIO DRIVE #136
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:469-458-0296
Mailing Address - Fax:214-291-2503
Practice Address - Street 1:2301 OHIO DRIVE #136
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:469-458-0296
Practice Address - Fax:214-291-2503
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX688454363L00000X, 364SW0102X
TXAP116101363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K2104Medicare PIN