Individual
DR. KENNETH G HALLIWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 ESSJAY RD, WILLIAMSVILLE, NY 14221-8243
(716) 630-1122
(716) 250-5924
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
248880
NY
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
248880
NY
Other
Enumeration date
06/05/2008
Last updated
02/28/2022
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