NPI 1902809528 · live from the CMS NPI Registry
Kim A. Halladay, D.P.M.
Podiatrist in Tooele, UT. National Provider Identifier 1902809528, active.
NPI record
| NPI | 1902809528 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 2356 N 400 E, Ste 104, Tooele, UT 84074 |
| Practice phone | 435-882-0711 |
| Enumerated | May 27, 2005 |
| Last updated | December 17, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 103966-0501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.