Individual
KELLY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1194 OAK VALLEY DR STE 80B, ANN ARBOR, MI 48108-8942
(734) 975-5000
Mailing address
PO BOX 639295, CINCINNATI, OH 45263-9295
(248) 824-6000
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704190838
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629198478
—
MI
Enumeration date
03/29/2007
Last updated
05/09/2025
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