Provider Demographics
NPI:1992050280
Name:HALL, KRISTIN E (DVM)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:E
Last Name:HALL
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11187 OVERSEAS HWY
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-3460
Mailing Address - Country:US
Mailing Address - Phone:305-743-7099
Mailing Address - Fax:305-743-4057
Practice Address - Street 1:11187 OVERSEAS HWY
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-3460
Practice Address - Country:US
Practice Address - Phone:305-743-7099
Practice Address - Fax:305-743-4057
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLVM9320174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian