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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KASSANDRA NICOLE HALL, PA-C

Active Sole Proprietor

KASSANDRA NICOLE HALL, PA-C is a Physician Assistant healthcare provider located in SOUTHGATE, Kentucky. NPI 1902417389 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SOUTHGATE, KY

Registration Details

NPI Number
1902417389
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2020 (6.0093184005 yrs)
Last Updated
Feb 13, 2023
License
PA2655 (KY)
Sole Proprietor
Yes

Practice Information

Address
525 ALEXANDRIA PIKE STE 320
SOUTHGATE, KY, 410713243
Browse KY providers · Browse ZIP 41071
Phone
8597811310
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SOUTHGATE, KY

Name Credential NPI
CHRISTINA C NIEMER PA-C 1245586320
MS. REBECCA JO SCOTT PA 1174189153
ALLYSON BRIDEWELL PA-C 1912618869
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.