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Individual
DR. RANDALL WAYNE HALL
Active
Individual
DR. RANDALL WAYNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
244161
KY
213E00000X
Podiatrist
274
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330836
ANTHEM
KY
05
—
80000185
—
KY
Enumeration date
07/11/2005
Last updated
09/19/2019
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