Individual
THOMAS KENT HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
951 NW 13TH ST STE 1C, BOCA RATON, FL 33486-2337
(561) 447-9341
(561) 447-9352
Mailing address
18701 SE CROSSWINDS LN, JUPITER, FL 33478-1916
(865) 617-7551
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD0000009040
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164066
BLACK LUNG
TN
01
—
2001147
BLUE CROSS TENNESSEE
TN
05
—
3386048
—
TN
01
—
621244650
CHAMPUS
TN
01
—
62124465001
JOHN DEERE
TN
05
—
64772874
—
KY
Enumeration date
02/28/2007
Last updated
08/23/2012
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