Individual
DR. WILLIAM MITCHELL HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
166 HOSPITAL ST, MONTICELLO, KY 42633-2416
(606) 348-9343
(606) 348-0333
Mailing address
166 HOSPITAL ST, MONTICELLO, KY 42633-2416
(606) 348-9343
(606) 348-0333
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14148
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076139
ANTHEM BC & BS GROUP NUMB
KY
01
—
000000392625
ANTHEM BC & BS
KY
01
—
610847215001
TRICARE
KY
05
—
64141484
—
KY
05
—
65923542
—
KY
Enumeration date
06/06/2006
Last updated
07/09/2007
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