Provider Demographics
NPI:1578567376
Name:HALEMAN, TROY LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:LEE
Last Name:HALEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2845 FARRELL CRESCENT
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303
Mailing Address - Country:US
Mailing Address - Phone:270-926-3297
Mailing Address - Fax:270-926-7325
Practice Address - Street 1:2845 FARRELL CRESCENT
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303
Practice Address - Country:US
Practice Address - Phone:270-926-3297
Practice Address - Fax:270-926-7325
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY36365207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64031248Medicaid
180044979OtherRAILROAD MEDICARE
KY0207107Medicare PIN
H37383Medicare UPIN
KY64031248Medicaid