Kevin L O'halloran MD Sc

NPI #1164431367 in Watertown, Wisconsin

Provider Information

NPI Number: 1164431367
Entity Type: Organization
Organization Name: Kevin L O'halloran MD Sc
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 5, 2006
Last Updated: Feb 26, 2009

Practice Location

Address: 123 HOSPITAL DR
Address 2: SUITE 1008
City: Watertown
State: Wisconsin
ZIP Code: 53098-3331
Phone: (920) 261-0672

Authorized Official

Name: KEVIN L O'HALLORAN, MD
Title: OWNER
Phone: (920) 261-0672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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