Healthcare Provider Details

I. General information

NPI: 1578435962
Provider Name (Legal Business Name): KENDRA HALL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 TERRA FIRMA DR
MASON OH
45040-8087
US

IV. Provider business mailing address

5100 TERRA FIRMA DR
MASON OH
45040-8087
US

V. Phone/Fax

Practice location:
  • Phone: 513-229-5920
  • Fax:
Mailing address:
  • Phone: 513-229-5920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03438708
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: