Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kassandra Nicole Hall, PA-C

Individual provider Physician Assistant · NPI 1902417389

Kassandra Nicole Hall, PA-C is a Physician Assistant in Southgate, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

525 Alexandria Pike Ste 320
Southgate, KY 41071-3243
Phone: (859) 781-1310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2655 (KY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1902417389
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 11, 2020
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023

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