Individual
MS. KELLY VAUGHAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADVANCED NURSE PRACT
Contact information
Practice address
44604 STERLING HWY STE D, SOLDOTNA, AK 99669-7962
(907) 420-0585
(907) 420-0586
Mailing address
44604 STERLING HWY STE D, SOLDOTNA, AK 99669-7962
(907) 538-5638
(907) 420-0586
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1311
AK
Other
Enumeration date
07/27/2012
Last updated
04/12/2023
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