Provider Demographics
NPI:1851434385
Name:HILL, KATHI JOH (RN)
Entity Type:Individual
Prefix:MS
First Name:KATHI
Middle Name:JOH
Last Name:HILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 452
Mailing Address - Street 2:BOX 308
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09045
Mailing Address - Country:DE
Mailing Address - Phone:345-4040
Mailing Address - Fax:
Practice Address - Street 1:CMR 452
Practice Address - Street 2:BOX 308
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09045
Practice Address - Country:DE
Practice Address - Phone:345-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28111956A163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health