Individual
KAILEY RAYANN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4095 PARKVIEW DR, FRONTENAC, KS 66763-2302
(620) 231-7242
Mailing address
119 S DITTMAN ST, FRONTENAC, KS 66763-2292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62133
KS
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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