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NPI Code Detail

MEDICARE: KRISTY LYNN HALL RN

MEDICARE: KRISTY LYNN HALL RN
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
1163WP0808XPsychiatric/Mental Health Registered Nurse95049436CA

General Provider Information

NPI Number : 1760974208
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY LYNN HALL RN
Provider Business Mailing Address
First Line : 4441 E CESAR CHAVEZ BLVD
Second Line :
City : FRESNO
State : CA
Zip : 93702-3604
Country : US
Telephone Number : 559-600-9180
Fax Number :
Provider Business Practice Location Address
First Line : 1925 E DAKOTA AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-4821
Country : US
Telephone Number : 559-600-9180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2018
Last Update Date : 02/11/2026

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