Individual
KEVIN M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10000 COLUMBIA AVE, MUNSTER, IN 46321-4041
(219) 934-0750
Mailing address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005615A
IN
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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