Individual
RUSSELL HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-5100
(859) 301-2211
Mailing address
7574 PINEHURST DR, CINCINNATI, OH 45244-3278
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1146874
KY
Other
Enumeration date
12/06/2017
Last updated
01/02/2018
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