Individual
KIMBERLY J HALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2555 COURT DR STE 450, GASTONIA, NC 28054-2191
(704) 671-7652
(704) 671-7656
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5015763
NC
363LF0000X
Family Nurse Practitioner
AP8551
AZ
Other
Enumeration date
05/27/2016
Last updated
08/19/2022
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