Kim A. Halladay is a Tooele, Utah based male podiatrist who is specialized in Podiatry. Active license number of Kim A. Halladay for Podiatry is 103966-0501 in Utah. Kim A. Halladay is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Kim A. Halladay speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Gender:
Male
Practice Address:
2356 N 400 E, Ste 104, Tooele, Utah, 84074-3409
Phone:
435-882-0711
Fax:
435-882-1778
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1902809528
NPI Enumeration Date:
27 May, 2005
NPI Last Update On:
17 Dec, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kim A. Halladay are as mentioned below.
License Number
Specialization
State
Status
103966-0501
Podiatry
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kim A. Halladay such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0994190001
Other
Utah
DME
480008495
Other
Utah
RAILROAD MEDICARE
QM0000054283
Other
Utah
ALTIUS
107006704101
Other
Utah
IHC
2649
Other
Utah
PEHP
870406457 84074
Other
Utah
TRICARE
36338
Other
Utah
DMBA
870406457 HA1
Other
Utah
EMIA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2356 N 400 E, Ste 104 Tooele, Utah
Zip:
84074-3409
Phone Number:
435-882-0711
Fax Number:
435-882-1778
Patients can reach Kim A. Halladay at 2356 N 400 E, Ste 104, Tooele, Utah or can call to book an appointment on 435-882-0711. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.