Provider Demographics
NPI:1528269057
Name:HILE, KIMBERLY ANN
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANN
Last Name:HILE
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 1:305 E BYRON ST
Mailing Address - Street 2:PO BOX 455
Mailing Address - City:SIDNEY
Mailing Address - State:IL
Mailing Address - Zip Code:61877-7600
Mailing Address - Country:US
Mailing Address - Phone:217-898-3104
Mailing Address - Fax:
Practice Address - Street 1:305 E BYRON ST
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:IL
Practice Address - Zip Code:61877-7600
Practice Address - Country:US
Practice Address - Phone:217-898-3104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist