Individual
KELLEY RAE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 N BROADWAY, GREENVILLE, OH 45331
(937) 447-8907
Mailing address
PO BOX 392, GETTYSBURG, OH 45328-0392
(937) 447-8907
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
RN259355
OH
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
021828
OH
363L00000X
Nurse Practitioner
021828
OH
Other
Enumeration date
08/25/2017
Last updated
02/19/2020
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