KELLY JEAN HALL

Dr KELLY JEAN HALL is a female medical professional, specializing in Podiatry. She graduated in 1996 from California College Podiatric Medicine.

Contact

17191 BOTHELL WAY NE
SUITE B103
LAKE FOREST PARK
WA
981554240

Tel: 2063655484

KELLY JEAN HALL Information

Npi 1205932191
Pac Id 9436275518
Professional Enrollment Id I20100927000271
Last Name HALL
First Name KELLY
Middle Name JEAN
Suffix
Gender F
Credential
Medical School Name CALIFORNIA COLLEGE PODIATRIC MEDICINE
Graduation Year 1996
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 17191 BOTHELL WAY NE
Line 2 Street Address SUITE B103
Marker Of Address Line 2 Suppression
City LAKE FOREST PARK
State WA
Zip Code 981554240
Phone Number 2063655484
Hospital Affiliation Ccn 1 500124
Hospital Affiliation Lbn 1 EVERGREEN HOSPITAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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