Individual
MICHAEL S HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
551 S HOLLAND LN, WICHITA, KS 67209-2007
(316) 239-6068
(316) 239-6483
Mailing address
551 S HOLLAND LN, WICHITA, KS 67209-2007
(316) 613-0545
(316) 239-6483
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00992
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200309990D
—
KS
05
—
30004416660006
—
KS
Enumeration date
05/04/2006
Last updated
03/12/2026
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