Individual
MR. MICHAEL J. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
240 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 278-1460
(859) 278-0115
Mailing address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
(914) 637-3510
(914) 819-0061
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3004862
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74004300
—
KY
Enumeration date
12/02/2005
Last updated
02/06/2015
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