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 |