Individual
KEVIN D HALOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1375 VISTA LANE, CARSON CITY, NV 89703
(775) 882-2067
(775) 882-3706
Mailing address
1375 VISTA LANE, CARSON CITY, NV 89703
(775) 882-2067
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10915
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506197
—
NV
01
—
CC7775
BLUE CROSS BLUE SHIELD
NV
01
—
P00237567
RAILROAD MEDICARE
NV
Enumeration date
04/11/2006
Last updated
06/08/2010
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