Provider Demographics
NPI:1851568166
Name:HILL, KRISTY BENTON (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:BENTON
Last Name:HILL
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3775 DREW FARMER ROAD
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:NC
Mailing Address - Zip Code:28551-8716
Mailing Address - Country:US
Mailing Address - Phone:252-566-2129
Mailing Address - Fax:
Practice Address - Street 1:3775 DREW FARMER RD
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:NC
Practice Address - Zip Code:28551-8716
Practice Address - Country:US
Practice Address - Phone:252-566-2129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4899235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist