KENNETH NICHOLAS HALTER

LA JOLLA, CA
NPI1053745059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA22613)
Enumeration Date2013-08-26
Last Update Date2017-09-20
Business Address
Mr. KENNETH NICHOLAS HALTER PA-C
9350 CAMPUS POINT DR
LA JOLLA, CA 92037-1300
Phone number: 858-657-6035
Mailing Address
Mr. KENNETH NICHOLAS HALTER PA-C
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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