Individual
KELLY MAUREEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7169291
NY
363LA2100X
Acute Care Nurse Practitioner
431228
NY
363LA2100X
Acute Care Nurse Practitioner
5017206
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-4178
HI
Other
Enumeration date
06/13/2017
Last updated
11/03/2023
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