Individual
MS. KASSIE ELIZABETH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
609 CHURCH ST, CLIFTON FORGE, VA 24422-1740
(540) 862-8860
Mailing address
212 ROSEDALE AVE, COVINGTON, VA 24426-1246
(540) 960-0944
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
0110007532
VA
Other
Enumeration date
12/30/2020
Last updated
12/07/2023
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