Kassandra Nicole Hall, PA-C

NPI #1902417389 in Southgate, Kentucky

Provider Information

NPI Number: 1902417389
Entity Type: Individual
Name: Kassandra Nicole Hall, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 11, 2020
Last Updated: Feb 13, 2023

Practice Location

Address: 525 ALEXANDRIA PIKE STE 320
City: Southgate
State: Kentucky
ZIP Code: 41071-3243
Phone: (859) 781-1310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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