Individual
MR. KEVIN L HILGENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
230 MEDICAL CENTER DR, SEAMAN, OH 45679-8002
(937) 386-3400
Mailing address
230 MEDICAL CENTER DR, SEAMAN, OH 45679-8002
(937) 386-3400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT 002522
OH
363A00000X
Physician Assistant
Primary
50.003009
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000649071
ANTHEM
OH
Enumeration date
07/26/2005
Last updated
10/23/2025
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