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Individual

HUGH HALL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
703 MCDOWELL BLVD, SUITE 100, BARDSTOWN, KY 40004-2651
(502) 349-1212
(502) 349-1216
Mailing address
703 MCDOWELL BLVD, SUITE 100, BARDSTOWN, KY 40004-2651
(502) 349-1212
(502) 349-1216

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26930
KY
207Q00000X
Family Medicine Physician
35.056242
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000050161
ANTHEM
KY
01
000000711250
ANTHEM- NCMA
KY
01
000057120C
HUMANA- CMA
KY
01
1055781
PASSPORT
KY
01
125580
SIHO- NCMA
KY
05
201059710
IN
01
50033018
PASSPORT- NCMA
KY
05
64269301
KY
01
E14151
UPIN
KY
01
P01003558
MCR RAILROAD- NCMA
KY
Enumeration date
11/28/2007
Last updated
01/11/2013
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