Individual
KATHLEEN M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
280 SMITH AVE N, SUITE 220, SAINT PAUL, MN 55102-2424
(651) 241-8295
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33878
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191507000
—
MN
Enumeration date
06/03/2006
Last updated
02/10/2017
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