Individual
KATHRYN L HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
511 W ALEXANDER ST STE 1, PLANT CITY, FL 33563-7116
(813) 879-8045
(813) 717-9615
Mailing address
10002 PRINCESS PALM AVE STE 332, TAMPA, FL 33619-8327
(813) 571-7184
(813) 654-4695
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
ME96742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276432600
—
FL
01
—
56619
BCBS
FL
Enumeration date
09/13/2006
Last updated
04/23/2019
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