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MR. KELLY RUTHERFORD S. HALL PA-C
PA-C
Physician Assistant
NPI: 1710989439IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA13266(CA)
Surgical Physician Assistant
Physician Assistant — Surgical
Code: 363AS0400X
PA13266(CA)
Education
OTHER
Class of 1993
Contact & Hours
- Address
- 227 W JANSS RD STE 340
THOUSAND OAKS, CA 91360 - Phone
- (805) 852-9100
Quick Facts
- NPI
- 1710989439
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 33
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