Individual
DR. KEVIN O HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1211 N GLENN ENGLISH, CORDELL, OK 73632
(580) 832-3803
(580) 832-3804
Mailing address
PO BOX 398, 1211 N GLENN ENGLISH, CORDELL, OK 73632
(580) 832-3803
(580) 832-3804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4425
OK
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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