IndividualActive
Kim Halladay, D.P.M.
NPI 1902809528 · Podiatrist · Tooele, UT
Provider details
- NPI number
- 1902809528
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- 103966-0501 (UT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
2356 N 400 E
Ste 104
Tooele, UT 84074-3409
Phone: (435) 882-0711
Fax: (435) 882-1778
Approximate (ZIP-level) locationGet directions
Mailing address
2356 N 400 E
Tooele, UT 84074-3409
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2010-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.