Provider Demographics
NPI:1225326143
Name:HILL, KAYLA LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:LYNN
Last Name:HILL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KAYLA
Other - Middle Name:LYNN
Other - Last Name:WOELFEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:140 SE 350 ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:IL
Mailing Address - Zip Code:62016-4567
Mailing Address - Country:US
Mailing Address - Phone:618-535-8617
Mailing Address - Fax:
Practice Address - Street 1:915 N GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-1621
Practice Address - Country:US
Practice Address - Phone:314-652-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.2942441835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy