person
Kim A. Halladay, DPM
Podiatrist in Tooele, Utah
NPI 1902809528

Kim A. Halladay is a Podiatrist based in Tooele, UT. Kim A. Halladay practices in Tooele, UT and has the professional credentials of DPM. The NPI Number for Kim A. Halladay is 1902809528 and holds a License No. 103966-0501 (Utah).

The current practice location address for Kim A. Halladay is 2356 N 400 E, Tooele, UT and can be reached out via phone at 435-882-0711 and via fax at 435-882-1778.

Location: 2356 N 400 E, Tooele, UT, 84074-3409
person
Provider Profile Details
NPI Number
1902809528
Provider Name
Kim A. Halladay
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2356 N 400 E, Tooele, UT, 84074-3409
Phone Number
435-882-0711
Fax Number
435-882-1778
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0994190001 01 UT DME
480008495 01 UT RAILROAD MEDICARE
QM0000054283 01 UT ALTIUS
107006704101 01 UT IHC
2649 01 UT PEHP
870406457 84074 01 UT TRICARE
36338 01 UT DMBA
870406457 HA1 01 UT EMIA
institution
Provider Business Practice Location Address Details
Address
2356 N 400 E
City
State
Zip
84074-3409
Phone Number
435-882-0711
Fax Number
435-882-1778
person
Provider Business Mailing Address Details
Address
2356 N 400 E
City
State
Zip
84074-3409
Phone Number
435-882-0711
Fax Number
435-882-1778
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
103966-0501 (Utah)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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