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NPI Code Detail

MEDICARE: KEVIN MICHAEL HALL PA-AA

MEDICARE: KEVIN MICHAEL HALL PA-AA
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 Assistant5874GA
2207L00000XAnesthesiology Physician5874GA
3367H00000XAnesthesiologist Assistant2020020930MO
4367H00000XAnesthesiologist Assistant5874GA
5363A00000XPhysician AssistantPA10004213WA

General Provider Information

NPI Number : 1689837775
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN MICHAEL HALL PA-AA
Provider Business Mailing Address
First Line : 1599 EASTLAND RD SE
Second Line :
City : ATLANTA
State : GA
Zip : 30316-3410
Country : US
Telephone Number :
Fax Number : 816-932-9089
Provider Business Practice Location Address
First Line : 35 COLLIER RD NW STE 775
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1608
Country : US
Telephone Number : 404-605-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2008
Last Update Date : 04/08/2026

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Directions to “ KEVIN MICHAEL HALL PA-AA” Practice Location

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