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Individual
KIMBERLY A HILLIARD
Active
Individual
KIMBERLY A HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-01243
KS
363A00000X
Physician Assistant
Primary
530
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100351360
—
KS
01
—
25426
MIDLANDS CHOICE
—
01
—
37441
BCBS
NE
05
—
507606186
—
NE
01
—
970010244
RAILROAD MEDICARE
NE
01
—
P00787095
RAILROAD MEDICARE
KS
Enumeration date
05/23/2005
Last updated
02/23/2010
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