Individual
MRS. KIMBERLY HARGIS HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBCT
Contact information
Practice address
1630 LOWER HATCHER CREEK RD, STANTON, KY 40380-7149
(859) 585-0061
(859) 745-1304
Mailing address
1630 LOWER HATCHER CREEK RD, STANTON, KY 40380-7149
(859) 585-0061
(859) 745-1304
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1648
PROVIDER NUMBER
KY
Enumeration date
05/23/2007
Last updated
01/27/2017
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