Individual
MR. DANIEL S HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHS
Contact information
Practice address
800 NORTH MAIN STREET, TOMPKINSVILLE, KY 42167
(270) 901-5000
(270) 842-5268
Mailing address
800 N MAIN ST, TOMPKINSVILLE, KY 42167
(270) 487-5655
(270) 487-5948
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
09/12/2012
Last updated
09/12/2012
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