Organization
HILL TOP HEALTH CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED K WILSON MD (CEO)
(270) 585-0258
Entity
Organization
Contact information
Practice address
4690 W HIGHWAY 80, SOMERSET, KY 42503-3763
(270) 585-0258
(800) 591-6398
Mailing address
PO BOX 1239, SOMERSET, KY 42502-1239
(270) 585-0258
(800) 591-6398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32177
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64321771
—
KY
Enumeration date
02/20/2014
Last updated
02/20/2014
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