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Individual
KELI E HALL
Active
Individual
KELI E HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. (PA-C)
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
568770ZXSZ
MEDICARE
AR
01
—
PA718
STATE LICENSE
AR
Enumeration date
03/03/2017
Last updated
08/20/2025
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