Halladay, Kim A.

Halladay, Kim A. is an individual health care provider with primary practice located at 2356 N 400 E Ste 104, Tooele UT 84074-3409. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Halladay, Kim A. can be contacted via phone (435) 882-0711.

Contact Information

Primary practice address
2356 N 400 E Ste 104 Tooele UT 84074-3409
Phone: (435) 882-0711
Fax: (435) 882-1778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 103966-0501 Utah

Profile Details

NPI number 1902809528
LBN Legal business name Halladay, Kim A.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Dec 17th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902809528 NPPES
Utah Other 0994190001 DME
Utah Other 480008495 DME
Utah Other QM0000054283 DME
Utah Other 107006704101 DME
Utah Other 2649 DME
Utah Other 870406457 84074 DME
Utah Other 36338 DME
Utah Other 870406457 HA1 DME

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