KEVIN WILLIS HALL


Address: 1400 N 500 E, Logan, UT 84341-2455
Phone: 4357162882

KEVIN WILLIS HALL (NPI# 1790306884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790306884
Entity Type Individual
Full Name KEVIN WILLIS HALL
Credential PTA
Practice Address 1400 N 500 E
Logan
UT 84341-2455
Mailing Address 1510 W Center St
Lewiston
UT 84320-1645
Practice Telephone 4357162882
Mailing Telephone 4357708798
Enumeration Date 2020-04-30
Last Update Date 2020-04-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081S0010X Physical Medicine & Rehabilitation
Specialization: Sports Medicine
9037678-2402 UT Allopathic & Osteopathic Physicians

Other Providers KEVIN HALL

NPI Name Taxonomy Address Enumeration
1386154649 Kevin R Hall Counselor 3885 S Decatur Blvd Ste 3010, Las Vegas, NV 89103-6814 2017-10-01
1467708271 Kevin Arthur Hall General Practice 25 Jefferson Way, Suite 102, Ketchikan, AK 99901-5953 2012-07-30
1356623938 Kevin Russell Hall Pharmacist 1111 Flotilla Club Dr, Indian Harbour Beach, FL 32937-4212 2011-09-09
1114232212 Kevin Farrier Hall Counselor 33 Arthur Pl, Red Bank, NJ 07701-1707 2010-08-12
1700044542 Kevin Allan Hall Dentist 1841 Broad St, Hartford, CT 06114-1780 2008-05-29
1740359314 Kevin Hall Physician Assistant 660 South Main Street, Florence, AZ 85232 2006-11-07
1710596168 Kevin Hall Student in an Organized Health Care Education/Training Program 33 W 60th St Fl 4, New York, NY 10023-7905 2020-07-30
1336652007 Kevin M Hall Physical Therapy Assistant 10000 Columbia Ave, Munster, IN 46321-4041 2017-11-15
1366996027 Kevin Hall Physical Therapist 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 2016-08-11
1598130122 Kevin Hall Massage Therapist 3301 N Miller Rd, Scottsdale, AZ 85251-6431 2015-12-08

Office Location

Street Address 1400 N 500 E
City LOGAN
State UT
Zip Code 84341-2455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376540955 Mark D Anderson Radiology 1400 N 500 E, Logan, UT 84341-2455 2005-06-28
1265094742 Jacob Sanderson Emergency Medicine 1400 N 500 E, Logan, UT 84341-2455 2019-07-03
1497317523 Adele Perry Rosenauer Speech-Language Pathologist 1400 N 500 E, Logan, UT 84341-2455 2019-06-28
1174086581 Ridgeview Pathology LLC Pathology 1400 N 500 E, Logan, UT 84341-2455 2019-04-11
1639659543 Angelee Hancey Dietitian, Registered 1400 N 500 E, Logan, UT 84341-2455 2018-08-20
1144736372 Ihc Health Services Inc Radiology 1400 N 500 E, Logan, UT 84341-2455 2017-12-26
1992231534 Laycee Mozingo Dietitian, Registered 1400 N 500 E, Logan, UT 84341-2455 2017-05-02
1568996072 Cache Valley Pathology, LLC Pathology 1400 N 500 E, Logan, UT 84341-2455 2017-04-12
1255873352 Karen Tibbitts Filimoehala Speech-Language Pathologist 1400 N 500 E, 1st Floor, Logan, UT 84341-2455 2016-11-07
1821542127 Justine Powell Advanced Practice Midwife 1400 N 500 E, Logan, UT 84341-2455 2016-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538701529 Aubrey Salmond Registered Nurse 500 East 1500 N, Logan, UT 84341 2019-10-11
1043702046 Eye Pros of Logan LLC Optometrist 1475 N Main St Ste 103, Logan, UT 84341 2018-06-05
1275050452 Rylie Jeanne Cook Student in an Organized Health Care Education/Training Program 11 Aggie Village Apt. J, Logan, UT 84341 2017-08-28
1093262156 Jessica Lynn Mcgarry Social Worker 1040 N 130 W, Apt 100, Logan, UT 84341 2016-09-07
1740663566 Paul R Gregory Occupational Therapy Assistant 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 2015-06-30
1851708846 Bradley Budge Optometrist 535 E 1400 N Ste 130, Logan, UT 84341 2014-07-22
1386058709 Daniel Raymond Carlson Physician Assistant 500 E. 1400 N., Logan, UT 84341 2014-06-13
1902220239 Work Injury Solutions Inc. Clinic/Center 630 E 1400 N Ste 140, Logan, UT 84341 2014-02-06
1750627287 Lee Martin Williams Sr. Counselor 186 E. 1800 N., North Logan, UT 84341 2013-01-03
1669747804 Ronald J Payne Internal Medicine 1726 North 1850 East, North Logan, UT 84341 2012-03-21
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Taxonomy Information

Taxonomy Code 2081S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Sports Medicine

Taxonomy Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396393393 Camille Elizabeth Crockett Physical Medicine & Rehabilitation 1130 Smith Fieldhouse, Provo, UT 84602-2246 2019-09-03
1215493838 Nikole Decker Squires Physical Medicine & Rehabilitation 6748 W 9500 N, Highland, UT 84003-3455 2019-02-19
1821513755 Sarah Huppi Physical Medicine & Rehabilitation 1130 Sfh, Provo, UT 84602 2017-08-11
1427572627 Mackenzie Booth Physical Medicine & Rehabilitation 1120 Sfh, Brigham Young University, Provo, UT 84602 2017-07-29
1497026330 Earl Warren Stadler Jr. Physical Medicine & Rehabilitation 1500 Three Kings Drive Unit 31, Park City, UT 84060 2012-01-24
1033240965 Ihc Health Services, Inc Physical Medicine & Rehabilitation 4401 Harrison Blvd Ste 2440, Ogden, UT 84403-3195 2007-03-09
1295881811 Michelle Pepper Physical Medicine & Rehabilitation 24 S 1100 E Ste 101, Salt Lake City, UT 84102-1562 2007-01-26
1053887067 Chase K Hansen Physical Medicine & Rehabilitation 1121 E Brickyard Rd Apt 1803, Salt Lake City, UT 84106-2531 2018-10-17
1689184053 Miranda Greer Physical Medicine & Rehabilitation 1141 Sfh, Provo, UT 84602-2246 2017-10-11
1770905705 Emere Utah, LLC Physical Medicine & Rehabilitation 5296 S Commerce Dr, Suite 104, Murray, UT 84107-4767 2014-01-10
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Competitor

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City LOGAN
Zip Code 84341

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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