Individual
KIM M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
617 OLD SYMSONIA RD, BENTON, KY 42025-1365
(270) 527-2411
(270) 527-8734
Mailing address
617 OLD SYMSONIA RD, BENTON, KY 42025-1365
(270) 527-2411
(270) 527-8734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41423
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100189760A
—
KS
Enumeration date
12/19/2005
Last updated
04/08/2009
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