Provider Demographics
NPI:1710348727
Name:KIRK F HALL
Entity Type:Organization
Organization Name:KIRK F HALL
Other - Org Name:CLARITY HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEARING AID DISPENSER
Authorized Official - Prefix:
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-787-4327
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA 6073237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty