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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS JACIE R KALK, APSS, TCM, CSA

Active

MISS JACIE R KALK, APSS, TCM, CSA is a Peer Specialist healthcare provider located in LOUISVILLE, Kentucky. NPI 1225846058 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · LOUISVILLE, KY

Registration Details

NPI Number
1225846058
Provider Type
Individual
Gender
Female
NPI Issued
Dec 26, 2024 (1.6063441723682 yrs)
Last Updated
Dec 26, 2024

Practice Information

Address
2512 PORTLAND AVE
SUITE 101
LOUISVILLE, KY, 40212
Browse KY providers · Browse ZIP 40212
Phone
5025013788
Fax
5029999910
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in LOUISVILLE, KY

Name Credential NPI
PHILLIP WINCHELL 1285056804
JAMES ISENBERG 1548682172
ROBIN BENSINGER 1659793271
SAMANTHA PILLERSDORF 1215319975
ANDREA JONES 1053793869
TARA BASSETT 1316323264
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.