Individual
DR. KEVIN PATRICK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7011 CYPRESS TER STE 101, FORT MYERS, FL 33907-8800
(239) 433-3075
Mailing address
7011 CYPRESS TER STE 101, FORT MYERS, FL 33907-8800
(239) 433-3075
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12011814A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN21883
FL
Other
Enumeration date
06/14/2012
Last updated
08/25/2016
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