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Individual

MR. KEVIN ARTHUR HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
25 JEFFERSON WAY, SUITE 102, KETCHIKAN, AK 99901-5953
(907) 247-7827
(973) 215-2052
Mailing address
25 JEFFERSON WAY STE 102B, KETCHIKAN, AK 99901-5953
(201) 259-0289
(973) 215-2052

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
128432
AK
208D00000X
General Practice Physician
21312
AZ
208D00000X
General Practice Physician
25MA09133000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1671637
AK
Enumeration date
07/30/2012
Last updated
12/08/2025
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