Individual
WILLIAM KEITH HALLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 NW MYHRE RD, SILVERDALE, WA 98383-7681
(360) 830-1100
Mailing address
2512 WHEATON WAY, BREMERTON, WA 98310-3399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00025913
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020004214
RAILROAD MEDICARE
—
01
—
5858030
AETNA
—
01
—
75432
LABOR & INDUSTRIES
WA
05
—
8177800
—
WA
01
—
8933538
CRIME VICTIMS COMP
WA
01
—
HA1812
REGENCE BLUE SHIELD
—
Enumeration date
05/12/2006
Last updated
03/07/2023
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