# RONALD D HALL MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093825705
- **Authorized official:** DR. RONALD D HALL MD (OWNER)
- **Authorized official phone:** (606) 432-5532

## Contact information

- **Practice address:** 1098 S MAYO TRL, SUITE 211, PIKEVILLE, KY 41501-1546
- **Practice address phone:** (606) 432-5532
- **Practice address fax:** (606) 432-5564
- **Mailing address:** PO BOX 2500, PIKEVILLE, KY 41502-2500
- **Mailing address phone:** (606) 432-5532
- **Mailing address fax:** (606) 432-5564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 19685 | KY | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 03/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 048726 | ANTHEM OF VA | VA |
| 01 | — | 4332165 | AETNA | KY |
| 01 | — | 46151 | ANTHEM BC/BS | KY |
| 05 | — | 64196850 | — | KY |
| 05 | — | 65901837 | — | KY |
