Kelly M Halligan (NPI# 1730152570, PAC ID# 4981668647) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is AUDIOLOGIST.
| Nation Provider ID (NPI) | 1730152570 |
| PAC ID by PECOS | 4981668647 |
| Professional Enrollment ID | I20041116000847 |
| Full Name | Kelly M Halligan |
| Organization Legal Name | GKH HOLDINGS |
| Address |
620 Main St Fairplay CO 80440 |
| Phone Number | 7198380328 |
| Gender | F |
| Credential | AU |
| Graduation Year | 2001 |
| Primary Specialty | AUDIOLOGIST |
| Group Practice PAC ID | 7810951571 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 620 Main St, Fairplay, CO 80440 | 7198380328 | GKH HOLDINGS |
| 620 Main St, Suite 102, Fairplay, CO 80440 | 7198380328 | GKH HOLDINGS |
| Organization Legal Name | GKH HOLDINGS |
| Physicians | 1 |
| Street Address |
620 MAIN ST |
| City | FAIRPLAY |
| State | CO |
| Zip | 80440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ira L Spar | Orthopedic Surgery | 620 Main St, Plantsville, CT 06479-1538 | |
| Donald A Rothrauff | Podiatry | 620 Main St, Tell City, IN 47586-1704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn L Young | Nurse Practitioner | Timberline Clinic Inc | 980 Main St, Fairplay, CO 80440 |
| Julia F Anderson | Physical Therapy | 540 Front St, Fairplay, CO 80440 |
| City | FAIRPLAY |
| Zip Code | 80440 |
| Specialty | AUDIOLOGIST |
| City + Specialty | FAIRPLAY + AUDIOLOGIST |
Please comment or provide details below to improve the information on Kelly M Halligan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.