Individual
REGINALD W HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6400 PROSPECT AVE, SUITE 640, KANSAS CITY, MO 64132-1100
(816) 523-7000
(816) 523-7095
Mailing address
6400 PROSPECT AVE, SUITE 640, KANSAS CITY, MO 64132-1100
(816) 523-7000
(816) 523-7095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-17241
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092940I
—
KS
05
—
100092940K
—
KS
Enumeration date
06/09/2006
Last updated
04/04/2012
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