Individual
MS. KENDRA NICOLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9575 KY ROUTE 122 STE 6, MC DOWELL, KY 41647-6043
(606) 949-1623
Mailing address
9575 KY ROUTE 122 STE 6, MC DOWELL, KY 41647-6043
(606) 949-1623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013125
KY
363LF0000X
Family Nurse Practitioner
3013125
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3013125
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100588740
—
KY
Enumeration date
01/15/2019
Last updated
08/12/2026
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