Individual
DR. RONALD D HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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