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1730603978
KELLY LYNN HALL
KIRTLAND AFB, NM
NPI
1730603978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
171000000X Military Health Care Provider
Enumeration Date
2017-07-31
Last Update Date
2023-08-10
Business Address
KELLY LYNN HALL PA-C
2050A 2ND ST SE
KIRTLAND AFB, NM 87117-5522
Phone number: 505-846-3200
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Mailing Address
KELLY LYNN HALL PA-C
2050A 2ND ST SE
KIRTLAND AFB, NM 87117-5522
Phone number:
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