Provider Demographics
NPI:1538737028
Name:HILL, NAKAYLA T
Entity type:Individual
Prefix:
First Name:NAKAYLA
Middle Name:T
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 1:400 W 9TH ST APT 409
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45203-1528
Mailing Address - Country:US
Mailing Address - Phone:151-693-3210
Mailing Address - Fax:
Practice Address - Street 1:400 W 9TH ST APT 409
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45203-1528
Practice Address - Country:US
Practice Address - Phone:151-693-3210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTU759489172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty