Hall, Kelly Rutherford S.

Hall, Kelly Rutherford S. is an individual health care provider with primary practice located at 1520 San Pablo St Suite 4300, Los Angeles CA 90033-5310. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Hall, Kelly Rutherford S. can be contacted via phone (323) 442-5849.

Contact Information

Primary practice address
1520 San Pablo St Suite 4300 Los Angeles CA 90033-5310
Phone: (323) 442-5849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA13266 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13266 California

Profile Details

NPI number 1710989439
LBN Legal business name Hall, Kelly Rutherford S.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jan 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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