National Provider Identifier
Kenneth Owen Hill, M.D.
Kenneth Owen Hill, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ithaca, NY and a listed phone number of (607) 255-6106.
Profile Overview
- NPI
- 1902849151
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- June 14, 2006
- Last Updated
- October 03, 2016
Practice Location
- 110 Ho Plaza
- Gannett Health Services
- Ithaca, NY 14853
Phone: (607) 255-6106
Mailing Address
- 110 Ho Plz
- Gannett Health Services
- Ithaca, NY 14853-3102
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1902849151
- Entity Type
- Individual
- Last Name
- Hill
- First Name
- Kenneth
- Middle Name
- Owen
- Credential
- M.D.
- Mailing Street Address
- 110 Ho Plz
- Mailing Address Line 2
- Gannett Health Services
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14853-3102
- Mailing Country
- US
- Mailing Phone
- (607) 255-6106
- Mailing Fax
- (607) 254-3503
- Practice Street Address
- 110 Ho Plaza
- Practice Address Line 2
- Gannett Health Services
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14853
- Practice Country
- US
- Practice Phone
- (607) 255-6106
- Practice Fax
- (607) 254-3503
- Enumeration Date
- June 14, 2006
- Last Updated
- October 03, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- P00450099 (NY, Rr Medicare), 01083247 (NY)