Individual
EDWARD C HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2440
(859) 301-2493
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-2440
(859) 301-2493
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26580
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
26580
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160051936
RAIL ROAD MEDICARE
KY
05
—
64265804
—
KY
Enumeration date
08/26/2005
Last updated
09/21/2018
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