Individual
MRS. KAY ELLEN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-2090
(901) 595-3202
Mailing address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-2090
(901) 595-3202
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
0000001269
TN
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1269
TN
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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