M Kenny Hall in Marshall - Specialist

M Kenny Hall - NPI 1104932367

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
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
Provider Enumeration Date 2006-08-21
Last Updated Date 2022-08-22

Provider Mailing Address Detail

Address 405 E Pinecrest Dr Unit A
City Marshall
State Texas (TX)
Post Code 756707200
Phone Number 9039388581
Fax Number 9039389409

Provider's Primary Taxonomy Detail

Speciality Specialist
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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FAQs about M Kenny Hall

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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