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NPI Code Detail

MEDICARE: MRS. KRISTIN KIRBY HALL PA-C

MEDICARE:  MRS. KRISTIN KIRBY HALL  PA-C
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
1363A00000XPhysician Assistant0110003681VA
2363A00000XPhysician Assistant017515NY
3363A00000XPhysician Assistant3861CT

General Provider Information

NPI Number : 1265716369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTIN KIRBY HALL PA-C
Provider Business Mailing Address
First Line : 156 KINGS HWY NORBY SUITE 3
Second Line :
City : WESTPORT
State : CT
Zip : 06880-2400
Country : US
Telephone Number : 203-227-3674
Fax Number : 203-454-5639
Provider Business Practice Location Address
First Line : 156 KINGS HWY NORBY SUITE 3
Second Line :
City : WESTPORT
State : CT
Zip : 06880-2400
Country : US
Telephone Number : 203-227-3674
Fax Number : 203-454-5639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2011
Last Update Date : 02/26/2025

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Directions to “ MRS. KRISTIN KIRBY HALL PA-C” Practice Location

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