Individual
MR. LARRY JOE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
790 NORTH DIXIE SUITE 800, ELIZABETHTOWN, KY 42701
(270) 737-1851
Mailing address
790 NORTH DIXIE SUITE 800, ELIZABETHTOWN, KY 42701
(270) 737-1851
(270) 737-1851
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
13910
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13910
LICENSE TO PRACTICE
KY
Enumeration date
11/08/2013
Last updated
11/08/2013
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