Healthcare Provider Details

I. General information

NPI: 1144180472
Provider Name (Legal Business Name): SARAH BETH HALL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8113 STATE HIGHWAY 773
DENTON KY
41132-8975
US

IV. Provider business mailing address

8113 STATE HIGHWAY 773
DENTON KY
41132-8975
US

V. Phone/Fax

Practice location:
  • Phone: 304-881-5278
  • Fax:
Mailing address:
  • Phone: 304-881-5278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1119091
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: