Provider Demographics
NPI:1336692383
Name:HILL, CHEZ KHALID (DC)
Entity Type:Individual
Prefix:DR
First Name:CHEZ
Middle Name:KHALID
Last Name:HILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 MEADOWLAKE RD
Mailing Address - Street 2:STE 10
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-2561
Mailing Address - Country:US
Mailing Address - Phone:501-513-3322
Mailing Address - Fax:501-513-3065
Practice Address - Street 1:2100 MEADOWLAKE RD
Practice Address - Street 2:STE 10
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-2561
Practice Address - Country:US
Practice Address - Phone:501-513-3322
Practice Address - Fax:501-513-3065
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16148111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor