Provider Demographics
NPI:1073063038
Name:HILL, KAELEIGH ELIZABETH (ARNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:KAELEIGH
Middle Name:ELIZABETH
Last Name:HILL
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 E COLUMBUS DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-7715
Mailing Address - Country:US
Mailing Address - Phone:813-242-5573
Mailing Address - Fax:813-769-8730
Practice Address - Street 1:9550 E COLUMBUS DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-7715
Practice Address - Country:US
Practice Address - Phone:813-242-5573
Practice Address - Fax:813-769-8730
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9345535363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily