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Kimbell Hall is one of 18 physician assistants practicing in Benbrook, Texas .
Kimbell Hall practices with Dermatology Specialists Of Fort Worth PLLC.
Registry record (NPPES)
NPI
1659083343
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
173 Trinity Bluffs Rd Aledo, TX 76008-3910 (817) 996-1797
Enumerated
Dec 14, 2022
Record last updated
Dec 14, 2022
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
6131 Southwest Blvd Suite 100
Benbrook , TX 76132
(817) 989-1221
More physician assistants in Benbrook
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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