Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 01084671A | IN |
N | 207VG0400X | Gynecologist | 22610 | WV |
N | 207VX0000X | Obstetrician | 22610 | WV |
NPI | 1164636429 |
---|---|
Provider Name | Kerri George Hall |
First Address | Fort Wayne, IN 46825-1675 |
Second Address | Fort Wayne, IN 46825-1675 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 14/09/2021 |