Provider Demographics
NPI:1770644338
Name:HALBE, KEVIN JOHN (MD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:JOHN
Last Name:HALBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RED LION ROAD AND KNIGHTS ROAD
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIA
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114
Mailing Address - Country:US
Mailing Address - Phone:215-612-4088
Mailing Address - Fax:
Practice Address - Street 1:RED LION ROAD AND KNIGHTS ROAD
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114
Practice Address - Country:US
Practice Address - Phone:215-612-4088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT185683207L00000X
PAMD435828207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology