Kenneth Hall, OD | |
6828 Bardstown Rd, Louisville, KY 40291-3050 | |
(502) 231-2020 | |
(502) 736-4490 |
Full Name | Kenneth Hall |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 37 Years |
Location | 6828 Bardstown Rd, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124025853 | NPI | - | NPPES |
77011096 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1109DT (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pcd Management Of Paducah, Llc | 3971919226 | 3 |
Provider Name | Clarkson Optometry Midwest Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073917597 PECOS PAC ID: 0749504165 Enrollment ID: O20160526000461 |
Provider Name | Pcd Management Of Paducah, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659998524 PECOS PAC ID: 3971919226 Enrollment ID: O20210310002651 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Hall, OD 5855 Reliable Pkwy, Chicago, IL 60686-0001 Ph: (502) 955-2020 | Kenneth Hall, OD 6828 Bardstown Rd, Louisville, KY 40291-3050 Ph: (502) 231-2020 |
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