Kelley Rae Hall
Kelley Rae Hall is a Nurse Practitioner in Greenville, Ohio. Graduated from Ohio Medical University in 2017, 9 years ago. Practices with Hospice of Darke County, Inc, a 5-clinician group. Licensed in Ohio.
- Years since qualifying
- 9
- Trained at
- Ohio Medical University
- Licensed in
- OH
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
1350 N BroadwayGreenville, OH 45331
Phone: (937) 447-8907
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Hospice and Palliative Medicine (Family Medicine) Physician (primary) | Taxonomy 207QH0002X · Licence 021828 (OH) |
|---|---|
| Hospice Registered Nurse | Taxonomy 163WH1000X · Licence RN259355 (OH) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 021828 (OH) |
Record details
| NPI number | 1851818314 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 25, 2017 |
| Last updated in NPPES | February 19, 2020 |
| Certification date | February 19, 2020 |
| Mailing address | Po Box 392, Gettysburg, OH 45328-0392 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OHIO MEDICAL UNIVERSITY |
| Graduated | 2017 (9 years in practice) |
| Group practice | Hospice Of Darke County, Inc. — 5 clinicians |
| Accepts Medicare assignment | Not indicated |