Doctor Name: | MRS. SUNG UN E HALL |
NPI Number: | 1003925272 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 15-01064 |
Business Practice Address: | 9211 E 21st St N Wichita, KS - 672062900 |
Business Phone Number: | 3166094558 |
Business Fax Number: | 3166094599 |
Mailing Address: | 9211 E 21st St N, WICHITA |
State: | KS |
Postal Code: | 672062900 |
Phone Number: | 3166094558 |
Fax Number: | 3166094599 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 01/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 15-01064 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |