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Individual

BETHEL ANNA HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
336 29TH ST STE 203, ASHLAND, KY 41101-1932
(606) 225-8200
Mailing address
336 29TH ST STE 203, ASHLAND, KY 41101-1932
(606) 225-8200
(888) 606-7354

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.16867
OH
363LF0000X
Family Nurse Practitioner
Primary
3008890
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100314870
KY
Enumeration date
09/24/2014
Last updated
01/25/2022
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