Individual
KAYLEE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 6TH AVE, DE WITT, IA 52742-1635
(563) 659-5042
Mailing address
629 6TH AVE, DE WITT, IA 52742-1635
(563) 659-5042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
015383
KY
183500000X
Pharmacist
21005
NC
183500000X
Pharmacist
Primary
22712
IA
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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