Basic Information
| Provider Information | |||||||||
| NPI: | 1992921563 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HILL | ||||||||
| FirstName: | KENNETH | ||||||||
| MiddleName: | LLOYD | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2500 BERNVILLE RD | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196059453 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103782557 | ||||||||
| FaxNumber: | 6102088839 | ||||||||
| Practice Location | |||||||||
| Address1: | 2494 BERNVILLE RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196059469 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103782557 | ||||||||
| FaxNumber: | 6102088839 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2007 | ||||||||
| LastUpdateDate: | 01/14/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | MT181999 | PA | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.