Provider Demographics
NPI:1245027002
Name:HALL, KAYLEY MEGHANN (NP)
Entity type:Individual
Prefix:
First Name:KAYLEY
Middle Name:MEGHANN
Last Name:HALL
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 FARMWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-6926
Mailing Address - Country:US
Mailing Address - Phone:603-931-0862
Mailing Address - Fax:
Practice Address - Street 1:5 FARMWOOD RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-6926
Practice Address - Country:US
Practice Address - Phone:603-931-0862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2373454363LF0000X
NH090976-21363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily