Kelly Jo Hall

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

RG498703 Issued in OH

Legal business name

KELLY JO HALL

Practice address

98 W State St
Milford Center, OH 43045-9008

Phone

(937) 707-7263

NPI assigned

Jul 8, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Jo Hall

Title

Member

Phone

(937) 707-7263

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1205242575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 W STATE ST",
            "city": "MILFORD CENTER",
            "state": "OH",
            "postal_code": "430459008",
            "telephone_number": "937-707-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 W STATE ST",
            "city": "MILFORD CENTER",
            "state": "OH",
            "postal_code": "430459008",
            "telephone_number": "937-707-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY JO HALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "937-707-7263"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "RG498703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Milford Center, OH
• Providers in Milford Center, OH by specialty
• Private Vehicle in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.