Individual
RICHARD A HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
633 MAYSVILLE RD, MOUNT STERLING, KY 40353-9767
(859) 404-7686
Mailing address
PO BOX 1328, MT. STERLING, KY 40353
(859) 404-7686
(859) 274-0785
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
28173
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000185160
ANTHEM
KY
05
—
64281736
—
KY
01
—
P40036028
MEDICARE
KY
Enumeration date
05/06/2006
Last updated
10/15/2024
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