Kelly Jean Hall (NPI# 1205932191, PAC ID# 9436275518) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1205932191 |
| PAC ID by PECOS | 9436275518 |
| Professional Enrollment ID | I20100927000271 |
| Full Name | Kelly Jean Hall |
| Address |
12900 Ne 180th St Suite 150 Bothell WA 98011-3112 |
| Phone Number | 2063655484 |
| Gender | F |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500124 | EVERGREEN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12900 Ne 180th St, Suite 150, Bothell, WA 98011-3112 | 2063655484 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
12900 NE 180TH ST SUITE 150 |
| City | BOTHELL |
| State | WA |
| Zip | 98011-3112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keri L Hollenbeck | Physical Therapy | Flex Physical Therapy | 12900 Ne 180th St, Suite 110, Bothell, WA 98011-5773 |
| Diane K Janshen | Physical Therapy | Flex Physical Therapy | 12900 Ne 180th St, Suite 110, Bothell, WA 98011-5773 |
| Karol A Wilson | Physical Therapy | Flex Physical Therapy | 12900 Ne 180th St, Suite 110, Bothell, WA 98011-5773 |
| Shannon D Pazier | Physical Therapy | Flex Physical Therapy | 12900 Ne 180th St, Suite 110, Bothell, WA 98011-5773 |
| Barbara S Mendrey | Family Medicine | 12900 Ne 180th St, Bothell, WA 98011-5773 | |
| Cheryl A Smith | Physical Therapy | Flex Physical Therapy | 12900 Ne 180th St, Suite 110, Bothell, WA 98011-5773 |
| Deborah Jenkins | Physical Therapy | Flex Physical Therapy | 12900 Ne 180th St, Suite 110, Bothell, WA 98011-5773 |
| Kari Osborne | Physical Therapy | Flex Physical Therapy | 12900 Ne 180th St, Suite 110, Bothell, WA 98011-5773 |
| Kathryn M Hahn | Physical Therapy | Flex Physical Therapy | 12900 Ne 180th St, Suite 110, Bothell, WA 98011-5773 |
| Eric Rubio | Physical Therapy | Flex Physical Therapy | 12900 Ne 180th St, Suite 110, Bothell, WA 98011-5773 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Lee Benlien | Chiropractic | 19122 Beardslee Blvd, Suite 105, Bothell, WA 98011-0200 | |
| Victor Frank Solley | Occupational Therapy | Bothell Pediatric and Hand Therapy | 18504 Bothell Way Ne, Bothell, WA 98011-1927 |
| Kimberly A Alquist | Occupational Therapy | Bothell Pediatric and Hand Therapy | 18504 Bothell Way Ne, Bothell, WA 98011-1927 |
| Noelle C Pratte | Occupational Therapy | Bothell Pediatric and Hand Therapy | 18504 Bothell Way Ne, Bothell, WA 98011-1927 |
| Joseph F Bullert | Occupational Therapy | Bothell Pediatric and Hand Therapy | 18504 Bothell Way Ne, Bothell, WA 98011-1927 |
| Suzanne Marie Shay | Chiropractic | Doyle Chiropractic Clinic Ps | 16923 96th Ne Ave, Bothell, WA 98011-1937 |
| David Leroy Arthur | Chiropractic | Doyle Chiropractic Clinic Ps | 16923 96th Ne Ave, Bothell, WA 98011-1937 |
| Hagen Patrick Schroder | Chiropractic | Kaufman Chiropractic Clinic Inc | 18920 Bothell Wy Ne, Suite 100, Bothell, WA 98011-1981 |
| Michael D Kaufman | Chiropractic | Kaufman Chiropractic Clinic Inc | 18920 Bothell Wy Ne, Suite 100, Bothell, WA 98011-1981 |
| John Tyler Kopet | Chiropractic | Kaufman Chiropractic Clinic Inc | 18920 Bothell Wy Ne, Suite 100, Bothell, WA 98011-1981 |
| Find all physicians in zip 98011 | |||
| City | BOTHELL |
| Zip Code | 98011 |
| Specialty | PODIATRY |
| City + Specialty | BOTHELL + PODIATRY |
Please comment or provide details below to improve the information on Kelly Jean Hall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.