Provider Demographics
NPI:1528095155
Name:HILL, KERI L (MD)
Entity type:Individual
Prefix:
First Name:KERI
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 N 28TH ST
Mailing Address - Street 2:STE C
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0110
Mailing Address - Country:US
Mailing Address - Phone:406-238-6380
Mailing Address - Fax:
Practice Address - Street 1:801 N 29TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0905
Practice Address - Country:US
Practice Address - Phone:406-238-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT11076207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000093926OtherBCBS PIN
MT0155298OtherMDCD PIN
WY123053100OtherMDCD PIN
WY123053100OtherMDCD PIN
MT1153260003Medicare PIN
MT000085431Medicare PIN
MT0155298OtherMDCD PIN