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NPI Code Detail

MEDICARE: HALEY KALLMYER

MEDICARE:   HALEY  KALLMYER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist

General Provider Information

NPI Number : 1154219335
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY KALLMYER
Provider Business Mailing Address
First Line : 1602 MARINE DR
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-8436
Country : US
Telephone Number : 360-410-4588
Fax Number :
Provider Business Practice Location Address
First Line : 1602 MARINE DR
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-8436
Country : US
Telephone Number : 360-410-4588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2025
Last Update Date : 06/25/2025

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Directions to “ HALEY KALLMYER ” Practice Location

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