Individual
DR. KELLY D HALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2304
(660) 626-2626
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
(901) 226-3186
(901) 226-3160
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
2003004986
MO
207Q00000X
Family Medicine Physician
2003004986
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207404609
—
MO
01
—
P00248163
RAILROAD MEDICARE
—
Enumeration date
09/29/2005
Last updated
10/17/2024
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