Individual
KIM MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8235 97TH ST S, COTTAGE GROVE, MN 55016-4342
(844) 532-3546
Mailing address
8235 97TH ST S, COTTAGE GROVE, MN 55016-4342
(844) 532-3546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1451962
WI
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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