Individual
DR. KEVIN S HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 HOSPITAL WAY, SUITE G15, POCATELLO, ID 83201-5175
(208) 239-2722
(208) 239-3759
Mailing address
PO BOX 4168, POCATELLO, ID 83205-4168
(208) 239-2055
(208) 239-3754
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
M-5852
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002686600
—
ID
Enumeration date
10/26/2006
Last updated
01/31/2013
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