Individual
ELISHA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
120 N 4TH ST, BARLOW, KY 42024-9579
(270) 334-3131
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-2023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011267
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100511930
—
KY
Enumeration date
09/26/2017
Last updated
07/12/2019
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