Individual
DR. GENERAL KEMP HILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD MEDICAL DOCTOR
Contact information
Practice address
13847 E 14TH ST, SUITE 203, SAN LEANDRO, CA 94578-2632
(510) 352-5325
(510) 352-5325
Mailing address
13847 E 14TH ST, SUITE 203, SAN LEANDRO, CA 94578-2632
(510) 352-5325
(510) 351-7446
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C32269
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0762736
—
CA
Enumeration date
08/15/2006
Last updated
11/17/2010
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