| Kelly H Hall, MD | |
|
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
| (702) 653-2273 | |
| Not Available |
| Full Name | Kelly H Hall |
|---|---|
| Gender | Female |
| Speciality | Pathology - Dermatopathology |
| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891176764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZD0900X | Pathology - Dermatopathology | T3295 (Texas) | Primary |
| 207ZD0900X | Pathology - Dermatopathology | 29547 (Nebraska) | Secondary |
| Entity Name | Pathology Specialist Of Arizona, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174503999 PECOS PAC ID: 4789583188 Enrollment ID: O20040105000801 |
| Entity Name | Clin-path Pathology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922079706 PECOS PAC ID: 5193717866 Enrollment ID: O20040401000920 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly H Hall, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273 | Kelly H Hall, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273 |
Matthew Uy, D.O. Pathology Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Callie Torres, DO, MS Pathology Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
James R Hempel, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2812 | |
Mayra A. Wells, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2822 | |
Dr. Matthew J Muscara, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Allen Richard Holmes, M.D. Pathology Medicare: May Accept Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Anwar Jahan Kaleemullah, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2812 Fax: 702-653-2108 |