| Kim M Hall, MD | |
|
617 Old Symsonia Rd, Benton, KY 42025-1365 | |
| (270) 527-2411 | |
| (270) 527-8734 |
| Full Name | Kim M Hall |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 617 Old Symsonia Rd, Benton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780660068 | NPI | - | NPPES |
| 100189760A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41423 (Kentucky) | Primary |
| Entity Name | Marshall County Health Dept |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104800127 PECOS PAC ID: 8527000314 Enrollment ID: O20050523000392 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
| Entity Name | Hospital Medicine Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160803001623 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim M Hall, MD 617 Old Symsonia Rd, Benton, KY 42025-1365 Ph: (270) 527-2411 | Kim M Hall, MD 617 Old Symsonia Rd, Benton, KY 42025-1365 Ph: (270) 527-2411 |
William Richard Colburn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 83 Wellness Way, Benton, KY 42025 Phone: 270-527-8601 Fax: 270-527-9615 | |
Austin Beck, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 83 Wellness Way Ste 101&201, Benton, KY 42025 Phone: 270-527-0045 | |
Mr. Edwin Perez-lopez, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 83 Wellness Way Ste 101&201, Benton, KY 42025 Phone: 270-527-0045 Fax: 270-527-9615 | |
William Powell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 619 Old Symsonia Rd, Benton, KY 42025 Phone: 270-527-2411 Fax: 270-527-8734 |