Individual
KATHRYN MARIE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
10138 SHUMAN ST, PORTAGE, MI 49024-6654
(888) 605-5161
Mailing address
10138 SHUMAN STREET, PORTAGE, MI 49024-6654
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704152819
MI
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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