Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902417389 Individual Practitioner Female Practitioner

Kassandra Nicole Hall , PA-C

Physician Assistant • Southgate, KY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kassandra Hall, PA-C is a registered healthcare professional specializing in Physician Assistant in Southgate, KY. Official NPI practice address is registered at 525 ALEXANDRIA PIKE STE 320.

Practice Location & Contact Primary Location

Practice Address

525 Alexandria Pike Ste 320

Southgate, KY 410713243

Telephone 8597811310
Associated Practice Facility / Clinic
🏢 River Hills Pediatrics Facility NPI 1871647818

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Southgate, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Southgate, KY (1973 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA2655

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Rebecca Scott , PA

Physician Assistant

NPI 1174189153

Physician Assistant

Christina Niemer , PA-C

Physician Assistant

NPI 1245586320

Physician Assistant (Certified)

NPI 1790839819

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
👤
Provider Name / Credentials Updated February 13, 2023

Recorded as KASSANDRA HALL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2023

Physician Assistant

📍
Updated Practice Location June 29, 2021

Registered at 525 ALEXANDRIA PIKE STE 320, SOUTHGATE, KY 410713243 (Tel: 8597811310)

📍
Updated Business Mailing Address June 29, 2021

Registered at 525 ALEXANDRIA PIKE STE 320, SOUTHGATE, KY 410713243 (Tel: 8597811310)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2021

Physician Assistant (License #PA2655 in KY)

NPI Profile Active August 11, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2020

Registered at 2720 MARLO WAY, LAKESIDE PARK, KY 410172149 (Tel: 8595126331)

📍
Updated Business Mailing Address August 11, 2020

Registered at 2720 MARLO WAY, LAKESIDE PARK, KY 410172149

👤
Provider Name / Credentials Updated August 11, 2020

Recorded as KASSANDRA NELTNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 11, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902417389
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2020
Last Update: February 13, 2023
Sole Proprietor: Yes

Mailing Address

525 Alexandria Pike Ste 320

Southgate, KY 410713243

Phone: 8597811310

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.