Provider Demographics
NPI:1518384171
Name:HILTON, TERRI
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:HILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 E 23RD ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2815
Mailing Address - Country:US
Mailing Address - Phone:785-259-1577
Mailing Address - Fax:785-621-4264
Practice Address - Street 1:116 E 23RD ST
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2815
Practice Address - Country:US
Practice Address - Phone:785-259-1577
Practice Address - Fax:785-621-4264
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS20-5609809343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)