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Contact Information

KENNETH H HALLER, DO
3600 W BETHEL AVE
MUNCIE, IN47304-5407
 Phone: 765-284-7738
 Fax: 765-213-3713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KENNETH H HALLER · (Male)

NPI # 1295741197
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/31/2006
Last updated 12/11/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 02001656A
  • IN Medicaid 200064610
  • IN Other 000000087018 ANTHEM PIN
  • IN Other 250009136 RAILROAD MEDICARE
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL - (Acute Care)
    2401 UNIVERSITY AVE
    MUNCIE, IN 47303
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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