Hall, Katherine Shelley

Hall, Katherine Shelley is an individual health care provider with primary practice located at 815 Pennsylvania Ave , Fort Worth TX 76104-2224. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Hall, Katherine Shelley can be contacted via phone (817) 321-0312.

Contact Information

Primary practice address
815 Pennsylvania Ave Fort Worth TX 76104-2224
Phone: (817) 321-0312
Fax: (817) 317-7033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X F6834 Texas
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X F6834 Texas
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X F6834 Texas

Profile Details

NPI number 1730189572
LBN Legal business name Hall, Katherine Shelley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Aug 15th, 2012 - about 12 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 1730189572 NPPES
Texas MEDICAID 1400756-30
Texas MEDICAID 140075626
Texas MEDICAID 140075627

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