NPI 1063015501

Kristopher Hall

Practitioner Pharmacist Radcliff, KY

Practice location

Address: 102 Gateway Crossing Blvd, Radcliff, KY 40160-9204
Phone: (270) 351-3625

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 018692 (KY)

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Registry record

NPI: 1063015501
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2020
Record last updated: 18 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.