Individual
ALICE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-8074
(859) 301-4945
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-8074
(859) 301-4945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39800
KY
208M00000X
Hospitalist Physician
Primary
39800
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523969
ANTHEM- NORTON
KY
01
—
000057058B
HUMANA- NORTON
KY
01
—
085126
SIHO- NORTON
KY
01
—
3315920000
PASSPORT ADVANT.-NORTON
KY
01
—
50016938
PASSPORT
KY
05
—
64108012
—
KY
01
—
8757615
CIGNA- NORTON
KY
01
—
P00466908
RAILROAD MEDICARE KY- NORTON CMA
KY
Enumeration date
09/27/2005
Last updated
08/22/2023
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