| Kerri J. Hall Llc | |
|
12351 W 96th Ter Suite 104 Lenexa KS 66215-4409 | |
| (913) 558-5648 | |
| (913) 962-4248 |
| Full Name | Kerri J. Hall Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12351 W 96th Ter, Lenexa, Kansas |
| Authorized Official Name and Position | Kerri J Hall (OWNER) |
| Authorized Official Contact | 9135585648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerri J. Hall Llc 12351 W 96th Ter Suite 104 Lenexa KS 66215-4409 Ph: (913) 558-5648 | Kerri J. Hall Llc 12351 W 96th Ter Suite 104 Lenexa KS 66215-4409 Ph: (913) 558-5648 |
| NPI Number | 1831482322 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 05/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831482322 | NPI | - | NPPES |
| 203365008 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2073 (Kansas) | Primary |
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