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Individual
KEYANDRA HALL
Active
Individual
KEYANDRA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
302R00000X
Health Maintenance Organization
5559
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601008607
—
LA
Enumeration date
01/02/2019
Last updated
06/21/2021
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