Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EILEEN R KALK, PA
Active Sole ProprietorEILEEN R KALK, PA is a Physician Assistant healthcare provider located in KELSEYVILLE, California. NPI 1538268016 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KELSEYVILLE, CA
Registration Details
- NPI Number
- 1538268016
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2006 (19.715900129194 yrs)
- Last Updated
- Dec 14, 2012
- Licenses
-
17682 (CA)PT10212 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4135 MAIN STKELSEYVILLE, CA, 954518941Browse CA providers · Browse ZIP 95451
- Phone
- 7072791888
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physical Therapy Assistant
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.