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NPI Code Detail

MEDICARE: KELLY ELIZABETH LAING-HALL L.P.N.

MEDICARE: KELLY ELIZABETH LAING-HALL L.P.N.
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
1164W00000XLicensed Practical Nurse37326CO
2164W00000XLicensed Practical Nurse53527NM
3163WS0200XSchool Registered Nurse53527NM

General Provider Information

NPI Number : 1851432405
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY ELIZABETH LAING-HALL L.P.N.
Provider Business Mailing Address
First Line : 6400 UPTOWN BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-4202
Country : US
Telephone Number : 505-880-3700
Fax Number :
Provider Business Practice Location Address
First Line : 6400 UPTOWN BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-4202
Country : US
Telephone Number : 505-880-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 10/11/2023

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