Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | G36274 | CA |
NPI | 1003812652 |
---|---|
Provider Name | Dr. Kathryn Hall |
First Address | Visalia, CA 93291-8222 |
Second Address | Visalia, CA 93291-8222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 03/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A46628 | (02) |