Individual
KEVIN A HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 WOODWINDS DRIVE, SUITE 300, WOODBURY, MN 55125
(651) 227-9141
(651) 714-8255
Mailing address
17 W. EXCHANGE ST, SUITE 622, ST. PAUL, MN 55102-1225
(651) 227-9141
(651) 291-5992
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
32868
MN
207VX0000X
Obstetrics Physician
Primary
32868
MN
207VX0000X
Obstetrics Physician
34055020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32868
MN LICENSE
MN
01
—
34055
WI LICENSE
WI
Enumeration date
08/30/2005
Last updated
12/31/2013
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