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

KELLY RUTH HALL, NP-C

Active

KELLY RUTH HALL, NP-C is a Family Nurse Practitioner healthcare provider located in SANDOVAL, Illinois. NPI 1912553892 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SANDOVAL, IL

Registration Details

NPI Number
1912553892
Provider Type
Individual
Gender
Female
NPI Issued
Aug 15, 2019 (6.9907688098028 yrs)
Last Updated
Feb 2, 2025
License
209019672 (IL)

Practice Information

Address
605 N MINE ST
SANDOVAL, IL, 628821103
Browse IL providers · Browse ZIP 62882
Phone
6183226680
Primary Specialty
Family Nurse Practitioner
363LF0000X
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.