Provider Demographics
NPI:1629556196
Name:HILL, KARA MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:MARIE
Last Name:HILL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 MED TECH PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2579
Mailing Address - Country:US
Mailing Address - Phone:423-620-1520
Mailing Address - Fax:
Practice Address - Street 1:3183 W STATE ST STE 1201
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-1713
Practice Address - Country:US
Practice Address - Phone:423-764-0987
Practice Address - Fax:423-764-2070
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000024454207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine