Healthcare Provider Details

I. General information

NPI: 1043294267
Provider Name (Legal Business Name): ANNE MARIE BECKER HALL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 WOLLARD BLVD
RICHMOND MO
64085-2229
US

IV. Provider business mailing address

13921 MASTIN ST
OVERLAND PARK KS
66221-2284
US

V. Phone/Fax

Practice location:
  • Phone: 816-470-5432
  • Fax:
Mailing address:
  • Phone: 913-219-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number426785
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: