Provider Demographics
NPI:1851546550
Name:HALL, APRIL P (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:P
Last Name:HALL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 TOWN MOUNTAIN RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-1631
Mailing Address - Country:US
Mailing Address - Phone:606-437-7356
Mailing Address - Fax:606-432-1012
Practice Address - Street 1:419 TOWN MOUNTAIN RD
Practice Address - Street 2:SUITE 206
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1631
Practice Address - Country:US
Practice Address - Phone:606-437-7356
Practice Address - Fax:606-432-1012
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA389363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYPA389OtherKY LICENSE NUMBER
KY95004511Medicaid
KYS62360Medicare UPIN
KYPA389OtherKY LICENSE NUMBER