Individual
DESIREE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 HOLLYHOCK DR, LEXINGTON, KY 40511-8361
(859) 967-3440
Mailing address
100 CONNELL DR APT 201, NICHOLASVILLE, KY 40356-7731
(859) 967-3440
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4022497
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2023
Last updated
06/27/2024
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