# KIMBERLY A HILLIARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801899018
- **Gender:** F
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 15-01243 | KS | — |
| 363A00000X | Physician Assistant | 530 | NE | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 02/23/2010

## 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 |