Individual
DR. KEITH O HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2520 CHERRY AVE, PATHOLOGY DEPT HARRISON MEDICAL CENTER, BREMERTON, WA 98310-4229
(360) 792-6736
(360) 792-6561
Mailing address
PO BOX 2171, BREMERTON, WA 98310
(360) 479-4905
(360) 479-7018
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD00012267
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154366
LABOR & INDUSTRIES
WA
05
—
8144008
—
WA
01
—
91109177604
KPS
WA
01
—
HA8173
REGENCE
WA
Enumeration date
12/26/2006
Last updated
07/12/2007
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