Provider Demographics
NPI:1265648851
Name:HALL, KIRK FRANKLIN (HTS)
Entity Type:Individual
Prefix:MR
First Name:KIRK
Middle Name:FRANKLIN
Last Name:HALL
Suffix:
Gender:M
Credentials:HTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 CIRBY WAY
Mailing Address - Street 2:SUITE # 8
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-5533
Mailing Address - Country:US
Mailing Address - Phone:916-787-4327
Mailing Address - Fax:916-787-4324
Practice Address - Street 1:1805 CIRBY WAY
Practice Address - Street 2:SUITE # 8
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-5533
Practice Address - Country:US
Practice Address - Phone:916-787-4327
Practice Address - Fax:916-787-4324
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA 6073237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist