Individual
MR. DWAYNE EDWARD HALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., RPHT, EMT
Contact information
Practice address
8110 US ROUTE 60, ASHLAND, KY 41102-9522
(606) 331-1513
Mailing address
2327 MARGARETTE ST, ASHLAND, KY 41101-3466
(740) 534-8444
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
1109252
KY
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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