Individual
KENDRA M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3505 NORTH BELL SCHOOL ROAD, ROCKFORD, IL 61114
(779) 696-0300
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036127029
IL
208000000X
Pediatrics Physician
28978
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127029
—
IL
05
—
575079
—
AZ
Enumeration date
10/31/2005
Last updated
05/05/2023
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