Individual
DR. KENNETH R. HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
316 W 71ST ST., TULSA, OK 74132-2008
(918) 446-3171
(918) 446-5938
Mailing address
316 W 71ST ST, TULSA, OK 74132-2008
(918) 446-3171
(918) 446-5938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
830
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669495313
NPI
OK
01
—
730793648-001
BC/BS
OK
Enumeration date
07/25/2006
Last updated
03/24/2008
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