Provider Demographics
NPI:1730337627
Name:HALL, KENETH NEWTON (MD)
Entity type:Individual
Prefix:DR
First Name:KENETH
Middle Name:NEWTON
Last Name:HALL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:120 MINEOLA BLVD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4064
Mailing Address - Country:US
Mailing Address - Phone:516-663-3300
Mailing Address - Fax:516-663-2780
Practice Address - Street 1:120 MINEOLA BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4064
Practice Address - Country:US
Practice Address - Phone:516-663-3300
Practice Address - Fax:516-663-2780
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2014-02-05
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Provider Licenses
StateLicense IDTaxonomies
NY262710208600000X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery