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KEVIN J KALLAL MD PA NPI 1891965505


NPI Information

NPI: 1891965505
Provider Name: KEVIN J KALLAL MD PA

Doing Business As: KALLAL MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
240 N RUFE SNOW DR
KELLER, TX
ZIP 76248
Phone: (817) 431-0606
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KEVIN J KALLAL MD PA is a family medicine in Keller, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KEVIN J KALLAL MD PA NPI is 1891965505. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kallal Medical Group.

The provider's business location address is:

240 N RUFE SNOW DR
KELLER, TX
ZIP 76248-226
Phone: (817) 431-0606
Fax: (817) 379-0155

The provider's authorized official is Kevin J Kallal .
The authorized official title is Owner/president and has the following contact phone number (817) 431-0606.

The enumeration date for this NPI number is 3/10/2008 and was last updated on 12/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineH7766TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11861408205OTHERTEXASINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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