Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 04-36640 | KS |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 2013026061 | MO |
NPI | 1841561750 |
---|---|
Provider Name | James P Halloran |
First Address | Leawood, KS 66211-1910 |
Second Address | Leawood, KS 66211-1910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2012 |
Last Update Date | 28/09/2017 |