Individual
KELLY K HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, UCONN CANCER CENTER, FARMINGTON, CT 06030-0001
(860) 679-2100
(860) 679-4815
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
004622
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
004622
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811215320
—
CT
Enumeration date
05/07/2010
Last updated
07/05/2012
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