Provider Demographics
NPI:1477714285
Name:HILL, KARA KELLY (NP)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:KELLY
Last Name:HILL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-7307
Mailing Address - Country:US
Mailing Address - Phone:208-342-5900
Mailing Address - Fax:208-342-2088
Practice Address - Street 1:111 MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-7307
Practice Address - Country:US
Practice Address - Phone:208-342-5900
Practice Address - Fax:208-342-2088
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP500A363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health