Individual
YVONNE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 2ND ST E STE 120, KALISPELL, MT 59901-4502
(406) 257-6241
Mailing address
50 2ND ST E STE 120, KALISPELL, MT 59901
(406) 257-6241
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
918
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
918
LICENSED
—
Enumeration date
08/11/2011
Last updated
08/11/2011
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