KELLY RUTHERFORD S. HALL

THOUSAND OAKS, CA
NPI1710989439
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA13266)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: CA  PA13266)
Enumeration Date2005-08-12
Last Update Date2025-05-07
Business Address
Mr. KELLY RUTHERFORD S. HALL PA-C
227 W JANSS RD STE 340
THOUSAND OAKS, CA 91360-1879
Phone number: 805-852-9100
Mailing Address
Mr. KELLY RUTHERFORD S. HALL PA-C
227 W JANSS RD STE 340
THOUSAND OAKS, CA 91360-1879
Phone number: 805-852-9100