Individual
KAITLIN ASHLEY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 LOVETT DR, GREENVILLE, SC 29607-6510
(801) 869-4100
Mailing address
111 LOVETT DR, GREENVILLE, SC 29607-6510
(801) 869-4100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30608
SC
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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