Most Relevant Information
Provider Data
| NPI Number: | 1003634148 |
| Provider Name: | JAKE HILL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/27/2024 |
| Last Updated: | 09/27/2024 |
Provider Practice Location
1010 N KANSAS ST
WICHITA
KS
672143124
Practice Location Phone/Fax
| Phone: | 3162932635 |
| Fax: |
Provider Mailing Location
1010 N KANSAS ST
WICHITA
KS
672143124
Provider Mailing Phone/Fax
| Phone: | 3162932635 |
| Fax: |