Doctor Name: | DR. KATHRYN ANNE HALL |
NPI Number: | 1376742148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 2952 |
Business Practice Address: | 13301 N Meridian Ave Ste 400 Oklahoma City, OK - 731208357 |
Business Phone Number: | 4057554600 |
Business Fax Number: | 4057554837 |
Mailing Address: | 13301 N Meridian Ave Ste 400, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731208357 |
Phone Number: | 4057554600 |
Fax Number: | 4057554837 |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2952 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |