Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA KALISH, PA
ActiveMIRANDA KALISH, PA is a Physician Assistant healthcare provider located in BELLEVILLE, Illinois. NPI 1588056147 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BELLEVILLE, IL
Registration Details
- NPI Number
- 1588056147
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 19, 2015 (11.478230133504 yrs)
- Last Updated
- Sep 29, 2021
- Licenses
-
085005407 (IL)PA-799 (AR)
Practice Information
- Address
-
4600 MEMORIAL DRBELLEVILLE, IL, 622265368Browse IL providers · Browse ZIP 62226
- Phone
- 6182358720
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BELLEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. COURTNEY M MCFARLIN | PA | 1831183334 |
| MR. ANDREW COLON | PA-C | 1811973050 |
| IRINA Y POLANSKY | PA-C | 1801866462 |
| LANCE L LANE | PA-C | 1023088655 |
| RHONDA PULVER | P.A. | 1932147592 |
| MRS. TORI RENEE SUTTON | PA | 1528088051 |
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.