Individual
COURTNEY KAYE HALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
504 N CLEVELAND ST, MOUNT AYR, IA 50854-2201
(641) 464-3226
Mailing address
504 N CLEVELAND ST, MOUNT AYR, IA 50854-2201
(641) 464-3226
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
112250
IA
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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