Individual
DR. KENNETH HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4004 ACTON CIR, BIRMINGHAM, AL 35243-4202
(205) 970-0817
Mailing address
4004 ACTON CIR, BIRMINGHAM, AL 35243-4202
(205) 970-0817
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9392
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9392
ALABAMA STATE MEDICAL LICENSE
AL
Enumeration date
09/09/2016
Last updated
09/09/2016
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