MR. KEVIN ARTHUR HALL (NPI# 1467708271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467708271 |
| Entity Type | Individual |
| Full Name | MR. KEVIN ARTHUR HALL |
| Credential | M.D. |
| Practice Address |
25 Jefferson Way Suite 102 Ketchikan AK 99901-5953 |
| Mailing Address |
748 Miller Ridge Rd Ketchikan AK 99901 |
| Practice Telephone | 9072477827 |
| Practice Fax Number | 9732152052 |
| Mailing Telephone | 2012590289 |
| Mailing Fax Number | 9732152052 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2020-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 21312 | AZ | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 25MA09133000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1671637 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386154649 | Kevin R Hall | Counselor | 3885 S Decatur Blvd Ste 3010, Las Vegas, NV 89103-6814 | 2017-10-01 |
| 1356623938 | Kevin Russell Hall | Pharmacist | 1111 Flotilla Club Dr, Indian Harbour Beach, FL 32937-4212 | 2011-09-09 |
| 1114232212 | Kevin Farrier Hall | Counselor | 33 Arthur Pl, Red Bank, NJ 07701-1707 | 2010-08-12 |
| 1700044542 | Kevin Allan Hall | Dentist | 1841 Broad St, Hartford, CT 06114-1780 | 2008-05-29 |
| 1740359314 | Kevin Hall | Physician Assistant | 660 South Main Street, Florence, AZ 85232 | 2006-11-07 |
| 1710596168 | Kevin Hall | Student in an Organized Health Care Education/Training Program | 33 W 60th St Fl 4, New York, NY 10023-7905 | 2020-07-30 |
| 1790306884 | Kevin Willis Hall | Physical Medicine & Rehabilitation | 1400 N 500 E, Logan, UT 84341-2455 | 2020-04-30 |
| 1336652007 | Kevin M Hall | Physical Therapy Assistant | 10000 Columbia Ave, Munster, IN 46321-4041 | 2017-11-15 |
| 1366996027 | Kevin Hall | Physical Therapist | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2016-08-11 |
| 1598130122 | Kevin Hall | Massage Therapist | 3301 N Miller Rd, Scottsdale, AZ 85251-6431 | 2015-12-08 |
| Street Address |
25 JEFFERSON WAY SUITE 102 |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770131930 | Capitol Med | Internal Medicine | 25 Jefferson Way, Suite 102b, Ketchikan, AK 99901-5953 | 2019-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518231968 | Tarra Wasilchen | General Practice | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2012-03-02 |
| 1487807814 | Amy J. Nichols | General Practice | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2008-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659846293 | Premier Sports Medicine, Inc. | General Practice | 35670 Kenai Spur Hwy Ste 104, Soldotna, AK 99669-7649 | 2018-10-10 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1245763051 | Carlos Vargas | General Practice | 927 1st Ave, Fairbanks, AK 99701-4350 | 2017-04-07 |
| 1750730594 | Medical Group of Alaska | General Practice | 3190 E Meridian Park Loop Ste 207, Wasilla, AK 99654-7422 | 2016-06-10 |
| 1831580604 | Johnna L Kohl Md LLC | General Practice | 4001 Dale St Ste 201, Anchorage, AK 99508-5445 | 2015-02-13 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| 1598199028 | Nina Rodriguez | General Practice | 786 D St, Jber, AK 99505 | 2013-09-03 |
| 1518207992 | George Walter Seuffert Sr. | General Practice | Mile 75, Steese Hwy, Box 10297, Fairbanks, AK 99710 | 2013-02-22 |
| 1063797827 | George Baryon Hightower | General Practice | Hc 89 34300 S Talkeetna Spur Road, Talkeetna, AK 99676 | 2011-10-12 |
| 1912295411 | Chadwick William Gaddis | General Practice | 4076 Neely Rd., Ft. Wainwright, AK 99703 | 2011-07-18 |
| Find all providers with the same taxonomy | ||||
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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.