Provider Demographics
NPI:1467661629
Name:HILL, KATHRYN BRANDI (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:BRANDI
Last Name:HILL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 HIGHWAY 82 W
Mailing Address - Street 2:
Mailing Address - City:CROSSETT
Mailing Address - State:AR
Mailing Address - Zip Code:71635-9203
Mailing Address - Country:US
Mailing Address - Phone:870-304-9306
Mailing Address - Fax:480-210-0557
Practice Address - Street 1:2500 HIGHWAY 82 W
Practice Address - Street 2:
Practice Address - City:CROSSETT
Practice Address - State:AR
Practice Address - Zip Code:71635-9203
Practice Address - Country:US
Practice Address - Phone:870-304-9306
Practice Address - Fax:480-210-0557
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16136111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor