Katherine Brooke Hall, P.A.
Physician Assistant in Post Falls, ID. Individual provider (NPI-1).
NPI number1366497547
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1366497547
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Katherine Brooke Hall
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2006
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA1846 | ID | Yes |
| 363A00000X | Physician Assistant | PA10005306 | WA | |
| 363AM0700X | Physician Assistant, Medical | 0110002075 | VA |
Other names
- Katherine Brooke Harper (Former Name)
Practice location
1125 E Polston Ave Ste BPost Falls, ID 83854-6045
Phone 208-758-0075 · Fax 208-758-0076
Mailing address
70 Medical Center CirSuite 301
Fishersville, VA 22939-2273
Phone 540-448-8819
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All 31 Physician Assistant providers in Post Falls · All 945 providers in Post Falls
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