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NPI Code Detail

MEDICARE: KERRY HALL RN, RNFA, CNOR

MEDICARE: KERRY HALL RN, RNFA, CNOR
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
1163WR0006XRegistered Nurse First Assistant648806NY

General Provider Information

NPI Number : 1407398761
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY HALL RN, RNFA, CNOR
Provider Business Mailing Address
First Line : 100 HIGH ST
Second Line :
City : BUFFALO
State : NY
Zip : 14203-1126
Country : US
Telephone Number : 716-859-2741
Fax Number :
Provider Business Practice Location Address
First Line : 2300 LONE STAR RD
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-8744
Country : US
Telephone Number : 682-341-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2016
Last Update Date : 03/06/2026

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