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NPI Code Detail

MEDICARE: KIMBERLY D HALL CFNP

MEDICARE: KIMBERLY D HALL CFNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner0024165542VA
2363LF0000XFamily Nurse PractitionerARNP9382948FL
3363LF0000XFamily Nurse Practitioner0024165542VA

General Provider Information

NPI Number : 1558453720
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY D HALL CFNP
Provider Business Mailing Address
First Line : 510 BLACKWELL RD
Second Line :
City : WARRENTON
State : VA
Zip : 20186-2600
Country : US
Telephone Number : 540-347-1621
Fax Number : 540-347-1621
Provider Business Practice Location Address
First Line : 510 BLACKWELL RD
Second Line :
City : WARRENTON
State : VA
Zip : 20186-2600
Country : US
Telephone Number : 540-347-1621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 12/03/2020

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