Individual
DR. KENNETH R HALLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD,MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
2020 ZONAL AVE # IRD806, LOS ANGELES, CA 90089-0121
(323) 442-1040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD062123L
PA
207RN0300X
Nephrology Physician
Primary
042.0018519
VT
207RN0300X
Nephrology Physician
C136632
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001861031
—
PA
Enumeration date
02/10/2006
Last updated
05/05/2025
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