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

MS. Kelly Vaughan Hall, ADVANCEDNURSEPRACT

Individual provider Family Nurse Practitioner · NPI 1518213503

MS. Kelly Vaughan Hall, ADVANCEDNURSEPRACT is a Nurse Practitioner in Soldotna, Alaska. Qualified in 2012, 14 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
14
Licensed in
AK
In the registry since
2012
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Practice location Address checks out

44604 Sterling Hwy Ste D
Soldotna, AK 99669-7962
Phone: (907) 420-0585
Fax: (907) 420-0586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1311 (AK)

Record details

NPI number1518213503
Entity typeIndividual (Type 1)
GenderFemale
Credentials ADVANCEDNURSEPRACT
Sole proprietorYes
NPI enumeratedJuly 27, 2012
Last updated in NPPESApril 12, 2023
Certification dateJanuary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Soldotna