O'Bryan, Hallie T

O'Bryan, Hallie T is an individual health care provider with primary practice located at 500 Clinic Dr , Hopkinsville KY 42240-4991. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. O'Bryan, Hallie T can be contacted via phone (270) 707-3300.

Contact Information

Primary practice address
500 Clinic Dr Hopkinsville KY 42240-4991
Phone: (270) 707-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3002153 Kentucky

Profile Details

NPI number 1326130394
LBN Legal business name O'Bryan, Hallie T
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 31st, 2015 - about 9 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 1326130394 NPPES
Kentucky Other 2153P LICENSE
Kentucky MEDICAID 78001856 LICENSE
Kentucky Other 000000044288 LICENSE

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