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Individual
KEVIN WILLIS HALL
Active
Individual
KEVIN WILLIS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
9037678-2402
UT
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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