Individual
DR. RONALD D HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1098 S MAYO TRL, SUITE 211, PIKEVILLE, KY 41501-1546
(606) 432-5532
(606) 432-5564
Mailing address
PO BOX 2500, PIKEVILLE, KY 41502-2500
(606) 432-5532
(606) 432-5564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19685
KY
207N00000X
Dermatology Physician
Primary
19685
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046151
ANTHEM OF KY
KY
05
—
005940303
—
VA
01
—
048726
ANTHEM OF VA
VA
01
—
0758582
UMWA
—
01
—
610944002007
MOUNTAIN STATE BCBS
WV
05
—
610944002007
—
WV
05
—
64-196850
—
KY
Enumeration date
05/13/2006
Last updated
03/21/2022
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