Individual
BETH A HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
UK DIVISION OF HOSPITAL MEDIDINE 800 ROSE ST, LEXINGTON, KY 40536-2112
(859) 323-6047
(859) 257-3873
Mailing address
UK DIVISION OF HOSPITAL MEDIDINE 800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-6047
(859) 257-3873
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1057
KY
363AM0700X
Medical Physician Assistant
PA1057
KY
363AS0400X
Surgical Physician Assistant
PA1057
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100029010
—
KY
Enumeration date
11/02/2007
Last updated
07/21/2022
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