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Individual

KEVIN MICHAEL HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-AA

Contact information

Practice address
35 COLLIER RD NW STE 775, ATLANTA, GA 30309-1608
(404) 605-7100
Mailing address
1599 EASTLAND RD SE, ATLANTA, GA 30316-3410
(816) 932-9089

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5874
GA
363A00000X
Physician Assistant
Primary
5874
GA
363A00000X
Physician Assistant
PA10004213
WA
367H00000X
Anesthesiologist Assistant
2020020930
MO
367H00000X
Anesthesiologist Assistant
5874
GA

Other

Enumeration date
07/08/2008
Last updated
04/08/2026
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