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Contact Information

MARYANN HALL, PAC
77 MILLARD ALLEN DR
LACKEY, KY41643
 Phone: 606-358-2381
 Fax: 606-358-2404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARYANN HALL · (Female)

NPI Number 1245238518
Status Active
Credentials PAC
Entity Individual
Enumeration date 07/12/2005
Last updated 07/16/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • KY License # PA781
  • KY Medicaid 95004073
  • Other 000000313658 BCBS
  • Other 000001207618 CHA
Hospital affiliation(s)
  • CLARK REGIONAL MEDICAL CENTER - (Acute Care)
    175 HOSPITAL DRIVE
    WINCHESTER, KY 40391
  • SAINT JOSEPH MOUNT STERLING - (Acute Care)
    225 FALCON DRIVE
    MOUNT STERLING, KY 40353
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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