Individual
KAREN PATRICIA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 OAKVIEW DR, MONTICELLO, IN 47960-1561
(765) 448-8000
(765) 448-8335
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
(765) 448-8335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01049441A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189382
ANTHEM PROVIDER NUMBER
IN
01
—
10825205
CAQH NUMBER
IN
05
—
200217910
—
IN
Enumeration date
03/14/2006
Last updated
07/17/2008
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