| Kim A Halladay, DPM | |
|
2356 N 400 E, Ste 104, Tooele, UT 84074-3409 | |
| (435) 882-0711 | |
| (435) 882-1778 |
| Full Name | Kim A Halladay |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 2356 N 400 E, Tooele, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902809528 | NPI | - | NPPES |
| 0994190001 | Other | UT | DME |
| 480008495 | Other | UT | RAILROAD MEDICARE |
| QM0000054283 | Other | UT | ALTIUS |
| 107006704101 | Other | UT | IHC |
| 2649 | Other | UT | PEHP |
| 870406457 84074 | Other | UT | TRICARE |
| 36338 | Other | UT | DMBA |
| 870406457 HA1 | Other | UT | EMIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 103966-0501 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kim A Halladay, DPM 2356 N 400 E, Ste 104, Tooele, UT 84074-3409 Ph: (435) 882-0711 | Kim A Halladay, DPM 2356 N 400 E, Ste 104, Tooele, UT 84074-3409 Ph: (435) 882-0711 |
Dr. David George Mckenzie Ii, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E Ste 204, Tooele, UT 84074 Phone: 801-582-1565 | |
Tooele Foot & Ankle Clinic, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2356 N 400 E, Ste 104, Tooele, UT 84074 Phone: 435-882-0711 Fax: 435-882-1778 | |
Dr. Derek Scott Anselmo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E Ste 204, Tooele, UT 84074 Phone: 610-983-1000 |