DR. M KENNY HALL (NPI# 1104932367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104932367 |
| Entity Type | Individual |
| Full Name | DR. M KENNY HALL |
| Other Name | DR. MARVIN KENNETH HALL III |
| Credential | M.D. |
| Practice Address |
405 E Pinecrest Dr Unit A Marshall TX 75670-7200 |
| Practice Telephone | 9039388581 |
| Practice Fax Number | 9039389409 |
| Mailing Telephone | 9039388581 |
| Mailing Fax Number | 9039389409 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | H0418 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 8400J0 | 01 |
| TX | 127807905 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235481193 | M Sue Hall | Registered Nurse | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2012-10-02 |
| Street Address |
405 E PINECREST DR UNIT A |
| City | MARSHALL |
| State | TX |
| Zip Code | 75670-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681411 | Gana R Nadiga | Ophthalmology | 405 E Pinecrest Dr Unit A, Marshall, TX 75670-7200 | 2005-07-07 |
| 1841301249 | Marvin Kenneth Hall IIi | Specialist | 405 E Pinecrest Dr Unit A, Marshall, TX 75670-7200 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536988 | Christopher Hurd | Counselor | 1006 E East End Blvd N, Marshall, TX 75670 | 2020-04-02 |
| 1912547274 | Katie Bennett | Pharmacist | 300 E End Blvd, Marshall, TX 75670 | 2020-01-14 |
| 1083263677 | Fresh Start East Texas Counseling Services | Clinic/Center | 202 S. Alamo Blvd. Suite A, Marshall, TX 75670 | 2019-09-06 |
| 1376045831 | Tonja Deem | Nurse Practitioner | 815 S Wahshington Ave Ste 302, Marshall, TX 75670 | 2018-03-01 |
| 1609399641 | Michael Alan Rich Jr. | Specialist/Technologist | One Tiger Drive, East Texas Baptist University, Marshall, TX 75670 | 2017-07-21 |
| 1902359987 | Marshall Smiles Pllc | Dentist | 900 E End Blvd N, 200, Marshall, TX 75670 | 2016-07-26 |
| 1669871158 | Marshall Dental PC | Dentist | 900 East End Blvd., Suite 200, Marshall, TX 75670 | 2014-08-20 |
| 1629486717 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1007 South Washington Avenue, Marshall, TX 75670 | 2014-08-01 |
| 1558636407 | Valerie Butler | Internal Medicine | 815 South Washington Avenue, Ste 100 Internal Medicine Marshall, Marshall, TX 75670 | 2012-03-11 |
| 1730478686 | John Lloyd English | Nurse Practitioner | 618 S Grove St Ste 100-300, Marshall, TX 75670 | 2011-03-31 |
| Find all providers in zip 75670 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255825394 | Dayspring Therapeutic Equestrian Center of Harrison County Inc | Specialist | 2609 Fern Lake Cutoff, Marshall, TX 75672 | 2018-06-21 |
| 1548267156 | Douglas E Duncan | Specialist | 815 S Washington Ave Ste 301, Marshall, TX 75670-5358 | 2005-06-29 |
| 1659759025 | Northern Virginia Otolaryngology Associates PC | Specialist | 8452 Renalds Ave, Marshall, VA 20115-3755 | 2015-05-18 |
| 1073900387 | Kelly Christophel | Specialist | 879 E Michigan Ave, Marshall, MI 49068-2045 | 2015-04-24 |
| 1245634674 | Jessica Kowalewski | Specialist | 879 E Michigan Ave, Marshall, MI 49068-2045 | 2014-10-14 |
| 1396153763 | David Collins | Specialist | 1 Tiger Dr, Marshall, TX 75670-1412 | 2014-07-29 |
| 1790822443 | Charles D Gaskin | Specialist | 815 S Washington Ave, Suite # 203, Marshall, TX 75670 | 2007-01-31 |
| 1093899825 | Thomas Harris | Specialist | 203 Winston Dr, Marshall, MI 49068-8526 | 2006-10-25 |
| 1841301249 | Marvin Kenneth Hall IIi | Specialist | 405 E Pinecrest Dr Unit A, Marshall, TX 75670-7200 | 2006-08-31 |
| 1679502009 | General Surgical Associates PC | Specialist | 215 E Mansion St, Suite 3e, Marshall, MI 49068-1559 | 2006-06-30 |
| Find all providers in MARSHALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.