Provider Demographics
NPI:1255639787
Name:HALVORSON, HOWARD CHRIS (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:CHRIS
Last Name:HALVORSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10569 S GLENVIEW LN
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7427
Mailing Address - Country:US
Mailing Address - Phone:913-486-4241
Mailing Address - Fax:913-764-4114
Practice Address - Street 1:10569 S GLENVIEW LN
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7427
Practice Address - Country:US
Practice Address - Phone:913-486-4241
Practice Address - Fax:913-764-4114
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS16127208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology