Individual
MS. KENDRA NICOLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9879 KY ROUTE 122, MC DOWELL, KY 41647-6026
(606) 377-3400
Mailing address
100 AIRPORT GARDENS ROAD, CREDENTIALING AND PROVIDER ENROLLMENT, HAZARD, KY 41701
(606) 487-7503
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013125
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100588740
—
KY
Enumeration date
01/15/2019
Last updated
10/06/2022
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