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Individual

LINDSEY A HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHCW

Contact information

Practice address
740 MCKINLEY AVE, KELLOGG, ID 83837-2693
(208) 783-1267
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB196273H
DRIVERS LICENSE
ID
Enumeration date
07/23/2020
Last updated
10/05/2020
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