Individual
DR. M KENNY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 E PINECREST DR UNIT A, MARSHALL, TX 75670-7200
(903) 938-8581
(903) 938-9409
Mailing address
405 E PINECREST DR UNIT A, MARSHALL, TX 75670-7200
(903) 938-8581
(903) 938-9409
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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