Provider Demographics
NPI:1720542962
Name:HILL, KASEY J
Entity Type:Individual
Prefix:MR
First Name:KASEY
Middle Name:J
Last Name:HILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 NORTHLAND BLVD APT A
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-3389
Mailing Address - Country:US
Mailing Address - Phone:513-488-7302
Mailing Address - Fax:
Practice Address - Street 1:796 NORTHLAND BLVD APT A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-3389
Practice Address - Country:US
Practice Address - Phone:513-488-7302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health