Individual
MRS. SUNG UN E HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9211 E 21ST ST N, WICHITA, KS 67206-2900
(316) 609-4558
(316) 609-4599
Mailing address
9211 E 21ST ST N, WICHITA, KS 67206-2900
(316) 609-4558
(316) 609-4599
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01064
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200547600B
—
KS
Enumeration date
08/30/2006
Last updated
01/27/2015
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