Individual
KEVIN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
660 SOUTH MAIN STREET, FLORENCE, AZ 85232
(949) 713-3998
Mailing address
PO BOX 2818, FLORENCE, AZ 85232-2818
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2493
AZ
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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