Provider Demographics
NPI:1356584858
Name:HILL, KIMBERLY DEANNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:DEANNE
Last Name:HILL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5491 VILLA TRCE
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3976
Mailing Address - Country:US
Mailing Address - Phone:205-987-6542
Mailing Address - Fax:
Practice Address - Street 1:5491 VILLA TRCE
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-3976
Practice Address - Country:US
Practice Address - Phone:205-987-6542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist