Provider Demographics
NPI:1740043678
Name:KIL, JULI D
Entity type:Individual
Prefix:
First Name:JULI
Middle Name:D
Last Name:KIL
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 1:27 E STOP 13 RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-2833
Mailing Address - Country:US
Mailing Address - Phone:317-797-3646
Mailing Address - Fax:
Practice Address - Street 1:27 E STOP 13 RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-2833
Practice Address - Country:US
Practice Address - Phone:317-797-3646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst