| NPI | 1164438859 |
|---|---|
| Former Name | KENDRA S. HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02006534A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS7976) |
| 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: IN 02006534A) | |
| 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: FL OS7976) | |
| 208D00000X General Practice (Licence: FL 0S7976) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2021-12-03 |