| Kelly Hall, | |
|
4725 S Colonial Oaks Dr, Marion, IN 46953-5341 | |
| (765) 674-9791 | |
| Not Available |
| Full Name | Kelly Hall |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4725 S Colonial Oaks Dr, Marion, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285036350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 46002698A (Indiana) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518069913 PECOS PAC ID: 2163339722 Enrollment ID: O20221005000888 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Hall, 13390 Illinois St, Carmel, IN 46032-3143 Ph: () - | Kelly Hall, 4725 S Colonial Oaks Dr, Marion, IN 46953-5341 Ph: (765) 674-9791 |
Amber Michelle Crane, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 N Wabash Rd, Ste. 203, Marion, IN 46952 Phone: 765-651-3229 Fax: 765-273-4369 | |
Katherine Downing Gibson, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4725 S Colonial Oaks Dr, Marion, IN 46953 Phone: 765-674-2261 | |
Mrs. Dana Jane Blum, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2551 W Miami Trl, Marion, IN 46952 Phone: 765-664-9416 | |
Jessica Tinsley, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 N Wabash Ave., Suite 200, Marion, IN 46952 Phone: 765-651-3229 | |
Beth Ellen Krouse, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Wabash Ave, Suite 200, Marion, IN 46952 Phone: 765-651-3229 | |
Robin Brady, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1320 W Spencer Ave, Marion, IN 46952 Phone: 765-662-0490 Fax: 765-662-0853 |