Provider Demographics
NPI:1730190653
Name:HILL, KENNETH FORBES (MD)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:FORBES
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2951 FRONT ST
Mailing Address - Street 2:SUITE 2450
Mailing Address - City:RICHLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24641-2055
Mailing Address - Country:US
Mailing Address - Phone:276-596-6659
Mailing Address - Fax:276-596-6658
Practice Address - Street 1:2951 FRONT ST
Practice Address - Street 2:SUITE 2450
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641-2055
Practice Address - Country:US
Practice Address - Phone:276-596-6659
Practice Address - Fax:276-596-6658
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101240072207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery