Individual
MADELYN R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-5956
(859) 323-1080
Mailing address
PO BOX 24230, LEXINGTON, KY 40524-4230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1148713
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3017817
KY
Other
Enumeration date
09/26/2021
Last updated
06/03/2022
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