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NPI Code Detail

MEDICARE: KATELYN HALL

MEDICARE: KATELYN HALL
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1043055627
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN HALL
Provider Business Mailing Address
First Line : 333 PUTNAM AVE
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-4963
Country : US
Telephone Number : 614-451-4465
Fax Number :
Provider Business Practice Location Address
First Line : 333 PUTNAM AVE
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-4963
Country : US
Telephone Number : 614-451-4465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2024
Last Update Date : 06/26/2024

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Directions to “ KATELYN HALL ” Practice Location

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