Individual
MRS. FALLON SMITH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
148 SKYVIEW DR, MT STERLING, KY 40353-1496
(859) 499-0717
(859) 499-0926
Mailing address
148 SKYVIEW DR, MT STERLING, KY 40353-1496
(859) 499-0717
(859) 499-0926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3011
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100949250
—
KY
Enumeration date
06/02/2021
Last updated
01/26/2024
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