Provider Demographics
NPI:1952485682
Name:HILL & KITTRELL, PLLC
Entity Type:Organization
Organization Name:HILL & KITTRELL, PLLC
Other - Org Name:CENTRAL VIRGINIA SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HENDRICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-947-3933
Mailing Address - Street 1:1801 THOMSON DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1006
Mailing Address - Country:US
Mailing Address - Phone:434-947-3933
Mailing Address - Fax:
Practice Address - Street 1:1801 THOMSON DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1006
Practice Address - Country:US
Practice Address - Phone:434-947-3933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CJ8827OtherMEDICARE RAILROAD
VAC06872Medicare ID - Type Unspecified