Provider Demographics
NPI:1285829002
Name:MAY, DEBORAH HALL (DO)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:HALL
Last Name:MAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:C
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:610 LAUREL LAKE RESORT RD
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-8844
Mailing Address - Country:US
Mailing Address - Phone:606-515-7137
Mailing Address - Fax:606-258-8211
Practice Address - Street 1:610 LAUREL LAKE RESORT RD
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-8844
Practice Address - Country:US
Practice Address - Phone:606-515-7137
Practice Address - Fax:606-258-8211
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2014-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03072207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine