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KEITH J KALISH DPM PA NPI 1295804367


NPI Information

NPI: 1295804367
Provider Name: KEITH J KALISH DPM PA
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1285 36TH ST
SUITE 203
VERO BEACH, FL
ZIP 32960
Phone: (772) 567-0111
Get Directions

KEITH J KALISH DPM PA is a foot surgery podiatrist in Vero Beach, FL. KEITH J KALISH DPM PA NPI is 1295804367. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1285 36TH ST
SUITE 203
VERO BEACH, FL
ZIP 32960-885
Phone: (772) 567-0111
Fax: (772) 567-7117

The provider's authorized official is Keith Jay Kalish .
The authorized official title is Owner-president and has the following contact phone number (772) 465-3207.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 5/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot SurgeryPO-001790FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PO-001790OTHERFLORIDASTATE LIC#
2AA987MEDICARE PINFLORIDA
35803780002MEDICARE NSCFLORIDA
4T55634MEDICARE UPINFLORIDA
55803780001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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