Basic Information
Provider Information
NPI: 1437613429
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILL
FirstName: MEREDITH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9305 MOODY PARK DR
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662124930
CountryCode: US
TelephoneNumber: 9136346448
FaxNumber:  
Practice Location
Address1: 2301 HOLMES ST
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641082677
CountryCode: US
TelephoneNumber: 8164040099
FaxNumber: 8164045219
Other Information
ProviderEnumerationDate: 01/24/2019
LastUpdateDate: 07/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WW0000X13-84010-021KSN Nursing Service ProvidersRegistered NurseWound Care
363LF0000X2021017026MOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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