Kallam, Timothy Devin

Kallam, Timothy Devin is an individual health care provider with primary practice located at 9915 Park Cedar Dr , Charlotte NC 28210-8905. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kallam, Timothy Devin can be contacted via phone (704) 544-3263.

Contact Information

Primary practice address
9915 Park Cedar Dr Charlotte NC 28210-8905
Phone: (704) 544-3263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-10336 North Carolina

Profile Details

NPI number 1922610328
LBN Legal business name Kallam, Timothy Devin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2020
Last updated Aug 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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