| Mr Kenneth Nicholas Halter Ii, PA-C | |
|
9350 Campus Point Dr, La Jolla, CA 92037-1300 | |
| (858) 657-6035 | |
| Not Available |
| Full Name | Mr Kenneth Nicholas Halter Ii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 9350 Campus Point Dr, La Jolla, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053745059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA22613 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San diego, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regents Of The University Of California | 3577476761 | 1712 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Nicholas Halter Ii, PA-C Po Box 232410, San Diego, CA 92193-2410 Ph: () - | Mr Kenneth Nicholas Halter Ii, PA-C 9350 Campus Point Dr, La Jolla, CA 92037-1300 Ph: (858) 657-6035 |
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