Individual
OLEKSANDR HALYTSKYY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 257-5800
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-5800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.063541
IL
207R00000X
Internal Medicine Physician
Primary
2017017854
MO
207R00000X
Internal Medicine Physician
MD15523
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386084630
—
MO
Enumeration date
07/01/2013
Last updated
07/21/2022
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