Individual
KENDALL KYLE HALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
12401 JEFFERSON AVE STE 700, NEWPORT NEWS, VA 23602-4311
(757) 877-0366
Mailing address
300 HIDENWOOD DR APT C2, NEWPORT NEWS, VA 23606-2319
(757) 879-2321
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101004067
VA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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