Individual
DR. RANDALL WAYNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
326 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 623-3550
(859) 623-3393
Mailing address
326 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 623-3550
(859) 623-3393
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
244161
KY
213E00000X
Podiatrist
274
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330836
ANTHEM
KY
05
—
80000185
—
KY
Enumeration date
07/11/2005
Last updated
09/19/2019
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