Individual
MICHAEL PATRICK HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 BEVINS LN, GEORGETOWN, KY 40324-6178
(859) 323-9333
(502) 570-5063
Mailing address
1777 ASHLEY CIR, BOWLING GREEN, KY 42104-3339
(270) 781-4090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51315
KY
390200000X
Student in an Organized Health Care Education/Training Program
H11-114-345
KY
Other
Enumeration date
04/14/2015
Last updated
07/22/2024
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