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NPI Code Detail

MEDICARE: MR. ROBERT KEITH HALL LCSW

MEDICARE: MR. ROBERT KEITH HALL LCSW
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
11041C0700XClinical Social Worker1643KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306839782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT KEITH HALL LCSW
Provider Business Mailing Address
First Line : 115 ROCKWOOD LN
Second Line :
City : HAZARD
State : KY
Zip : 41701-9415
Country : US
Telephone Number : 606-436-5761
Fax Number : 606-436-5797
Provider Business Practice Location Address
First Line : 115 ROCKWOOD LN
Second Line :
City : HAZARD
State : KY
Zip : 41701-9415
Country : US
Telephone Number : 606-436-5761
Fax Number : 606-436-5797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 11/20/2018

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Directions to “ MR. ROBERT KEITH HALL LCSW” Practice Location

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