Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY RUTHERFORD S. HALL, PA-C
ActiveMR. KELLY RUTHERFORD S. HALL, PA-C is a Physician Assistant healthcare provider located in THOUSAND OAKS, California. NPI 1710989439 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · THOUSAND OAKS, CA
Registration Details
- NPI Number
- 1710989439
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2005 (20.98905035236 yrs)
- Last Updated
- May 7, 2025
- Licenses
-
PA13266 (CA)PA13266 (CA)
Practice Information
- Address
-
227 W JANSS RD STE 340THOUSAND OAKS, CA, 913601879Browse CA providers · Browse ZIP 91360
- Phone
- 8058529100
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
Other Physician Assistant Providers in THOUSAND OAKS, CA
| Name | Credential | NPI |
|---|---|---|
| MR. DEAN WILSON JR. | P.A. | 1659329951 |
| RICK DELEON | PA | 1417004987 |
| CHRISTINE MARIE CALDWELL | PA | 1215056114 |
| MR. ALEX MONTEZ | P.A. | 1780808030 |
| ANDREA BECHTEL | PA | 1407069396 |
| KATHERINE JEAN WILLIAMS | PAC | 1861689390 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.