Individual
KYLE HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 547-7146
Mailing address
4030 E MORADA LN APT 6108, STOCKTON, CA 95212-1643
(801) 660-8119
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13027699-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0412128915
—
UT
Enumeration date
05/17/2019
Last updated
11/08/2022
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