Individual
KAYLYN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 STONE LAKE DR, ROANOKE, WV 26447-8440
(304) 644-7490
Mailing address
25 STONE LAKE DR, ROANOKE, WV 26447-8440
(304) 644-7490
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
83753
WV
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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