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Individual
KIM A. HALLADAY
Active
Individual
KIM A. HALLADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
103966-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0994190001
DME
UT
01
—
107006704101
IHC
UT
01
—
2649
PEHP
UT
01
—
36338
DMBA
UT
01
—
480008495
RAILROAD MEDICARE
UT
01
—
870406457 84074
TRICARE
UT
01
—
870406457 HA1
EMIA
UT
01
—
QM0000054283
ALTIUS
UT
Enumeration date
05/27/2005
Last updated
12/17/2010
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