Hall, Kelli G
Hall, Kelli G is an sole proprietor health care provider with primary practice located at 1850 State St , New Albany IN 47150-4990. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Hall, Kelli G can be contacted via phone (812) 944-7701.Contact Information
Primary practice address
1850 State St
New Albany IN 47150-4990
Phone: (812) 944-7701
Fax: (812) 949-5473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01040811 | Indiana |
Profile Details
| NPI number | 1043299589 |
|---|---|
| LBN Legal business name | Hall, Kelli G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Dec 4th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043299589 | NPPES |
| Indiana | MEDICAID | 100381510B |
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