Provider Demographics
NPI:1346649084
Name:HILL, CHERHEA MATEIKA
Entity Type:Individual
Prefix:MRS
First Name:CHERHEA
Middle Name:MATEIKA
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 1:5908 WOODSON RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-3360
Mailing Address - Country:US
Mailing Address - Phone:816-694-6514
Mailing Address - Fax:
Practice Address - Street 1:5908 WOODSON RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3360
Practice Address - Country:US
Practice Address - Phone:816-694-6514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS259721744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management