M Kenny Hall is a Specialist in Marshall, Texas. M Kenny Hall practices all healthcare services and medical treatments related to Specialist. The NPI Number for M Kenny Hall is 1104932367. The last update date is 2022-08-22.
M Kenny Hall's current location address is 405 E Pinecrest Dr Unit A, Marshall, Texas. You can contact this provider via phone number 9039388581 and fax number 9039389409. The mailing address for M Kenny Hall is 405 E Pinecrest Dr Unit A, Marshall, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | M Kenny Hall |
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Address | 405 E Pinecrest Dr Unit A, Marshall, Texas |
Phone Number | 9039388581 |
Fax Number | 9039389409 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1104932367 |
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Provider Enumeration Date | 2006-08-21 |
Last Updated Date | 2022-08-22 |
Provider Mailing Address Detail
Address | 405 E Pinecrest Dr Unit A |
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City | Marshall |
State | Texas (TX) |
Post Code | 756707200 |
Phone Number | 9039388581 |
Fax Number | 9039389409 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | H0418 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8400J0 | TX | BLUE CROSS | |
127807905 | TX | -- |
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What is the unique identification code assigned to M Kenny Hall by the Centers for Medicare & Medicaid Services?
The M Kenny Hall has been issued the NPI (National Provider Identifier) 1104932367. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of M Kenny Hall?
The M Kenny Hall is physically situated at 405 E Pinecrest Dr Unit A, in the city of Marshall, state of TX, with the postal code 756707200.
What is M Kenny Hall's specialized field of practice, and what is the corresponding taxonomy classification code?
The M Kenny Hall's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did M Kenny Hall receive its 1104932367 assignment from the Centers for Medicare & Medicaid Services?
The M Kenny Hall was assigned its 1104932367 on 2006-08-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to M Kenny Hall most recently updated or revised?
The details related to M Kenny Hall, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-22.
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