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Individual

KATINA D HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
101 ORCHARD DR, NICHOLASVILLE, KY 40356-2690
(859) 881-4288
(859) 881-4388
Mailing address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003288
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78005063
KY
Enumeration date
08/12/2005
Last updated
06/26/2024
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