Individual
DOUGLAS KEITH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 223-1650
Mailing address
5951 WHITEHAVEN DR, GALLOWAY, OH 43119-8545
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
396098
OH
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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