Individual
FREDERICK KELKER HILTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3061 FIELDSTONE WAY, SUITE 700, LEXINGTON, KY 40513-1718
(859) 296-9900
(859) 296-9603
Mailing address
3061 FIELDSTONE WAY, SUITE 700, LEXINGTON, KY 40513-1718
(859) 296-9900
(859) 296-9603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36182
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GRP
KY
01
—
4000501
MEDICARE LAB GRP
KY
05
—
64022791
—
KY
01
—
CB5773
RR MEDICARE GRP
GA
Enumeration date
07/13/2006
Last updated
11/02/2007
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