Hall, Katherine Brooke

Hall, Katherine Brooke is an individual health care provider with primary practice located at 1125 E Polston Ave Ste B , Post Falls ID 83854-6045. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hall, Katherine Brooke can be contacted via phone (208) 758-0075.

Contact Information

Primary practice address
1125 E Polston Ave Ste B Post Falls ID 83854-6045
Phone: (208) 758-0075
Fax: (208) 758-0076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10005306 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002075 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1846 Idaho

Profile Details

NPI number 1366497547
LBN Legal business name Hall, Katherine Brooke
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Aug 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366497547 NPPES
Virginia MEDICAID 010235421

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