Individual
KELLY HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(817) 565-6027
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
57135
KY
207P00000X
Emergency Medicine Physician
C7-0006532
DE
207P00000X
Emergency Medicine Physician
TP021
KY
207R00000X
Internal Medicine Physician
C7-0006532
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100849550
—
KY
Enumeration date
04/05/2017
Last updated
05/26/2023
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