IndividualActive
Charles Hallacy
NPI 1295211704 · Certified Registered Nurse Anesthetist · Iola, KS
Provider details
- NPI number
- 1295211704
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 557616 (KS)
Mailing address
303 S Pine St
Arma, KS 66712-4008
Registry dates
- Enumerated
- 2018-07-17
- Last updated
- 2018-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.