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

Marvin Douglas Hall Jr., CFACSA

Individual provider Surgical Assistant · NPI 1679089460

Marvin Douglas Hall Jr., CFACSA is a Surgical Assistant in Lexington, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2017

Practice location Address checks out

501 Darby Creek Rd
Lexington, KY 40509-1604
Phone: (859) 967-5715
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA310 (KY)

Record details

NPI number1679089460
Entity typeIndividual (Type 1)
GenderMale
Credentials CFACSA
Sole proprietorYes
NPI enumeratedDecember 16, 2017
Last updated in NPPESDecember 16, 2017

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