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Individual

DR. M KENNY HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
H0418
TX
207W00000X
Ophthalmology Physician
Primary
H0418
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127807905
TX
01
8400J0
BLUE CROSS
TX
Enumeration date
08/21/2006
Last updated
08/22/2022
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