Individual
DR. KEVIN PATRICK O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2943 HIGHWAY 77, PANAMA CITY, FL 32405-4411
(850) 914-7060
(850) 914-7065
Mailing address
3015 SQUALICUM PKWY, STE 200, BELLINGHAM, WA 98225-1906
(360) 733-2092
(360) 788-6042
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD61143141
WA
207XX0801X
Orthopaedic Trauma Physician
D77843
MD
207XX0801X
Orthopaedic Trauma Physician
ME130258
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019265400
—
FL
Enumeration date
02/04/2011
Last updated
12/02/2021
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