Individual ProviderKelly Ann HalterBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4130 San Ernesto Ave, Anchorage, AK 99508-2875(907) 729-5070PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Ann Halter does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1881547107Provider TypeIndividualFull NameHalter, Kelly AnnGenderFemaleSole ProprietorYesEnumeration Date2/17/2026Last Updated2/17/2026Contact InformationPractice LocationPractice Address4130 San Ernesto Ave, Anchorage, AK 99508-2875Phone(907) 729-5070FaxUnlisted FaxMailing LocationMailing Address7033 E Tudor Rd, Anchorage, AK 99507-1262PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer