Kallis, Jean Marie

Kallis, Jean Marie is an individual health care provider with primary practice located at 231 E Chestnut St , Louisville KY 40202-1821. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Kallis, Jean Marie can be contacted via phone (502) 629-6000.

Contact Information

Primary practice address
231 E Chestnut St Louisville KY 40202-1821
Phone: (502) 629-6000
Fax: (502) 629-5991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31457 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 31457 Kentucky

Profile Details

NPI number 1083685317
LBN Legal business name Kallis, Jean Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Apr 8th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083685317 NPPES
Kentucky MEDICAID 64937543
Kentucky MEDICAID 200012490

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