Hall, Kendra M

Hall, Kendra M is an individual health care provider with primary practice located at 3505 North Bell School Road , Rockford IL 61114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hall, Kendra M can be contacted via phone (779) 696-0300.

Contact Information

Primary practice address
3505 North Bell School Road Rockford IL 61114
Phone: (779) 696-0300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28978 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036127029 Illinois

Profile Details

NPI number 1548251432
LBN Legal business name Hall, Kendra M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated May 5th, 2023 - about last year

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 1548251432 NPPES
Illinois MEDICAID 036127029
Illinois MEDICAID 575079

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