Individual
MRS. CARLA JO HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5885
(270) 659-5852
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5885
(270) 659-5852
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA325
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9500246500
—
KY
Enumeration date
09/01/2005
Last updated
03/01/2023
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