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MARIA GREEN KALLMAN PA

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1700268786

Individual Registrant:
 MARIA GREEN KALLMAN PA
Gender: F
Sole Proprietor

Location and contact information for practice:
34 LAVELLE CT.  UNALASKA, AK 99685 US
Tel: 907-581-1202  Fax: --

Contact information for business:
34 LAVELLE CT. PO BOX 144 UNALASKA, AK 99685 US
Tel: 907-581-1202  Fax: --

Registration Information:
NPI: 1700268786
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
AK131031
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
COPA.0004294

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1684141AK05




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