Kelly Ann Kalt is a Clinical in Rockford, Illinois. Kelly Ann Kalt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Ann Kalt is 1063513513. The last update date is 2009-05-27.
Kelly Ann Kalt's current location address is 5702 Elaine Dr, Rockford, Illinois. You can contact this provider via phone number 8152297102 and fax number 8152297108. The mailing address for Kelly Ann Kalt is 5702 Elaine Dr, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Ann Kalt |
|---|---|
| Address | 5702 Elaine Dr, Rockford, Illinois |
| Phone Number | 8152297102 |
| Fax Number | 8152297108 |
| Sole Proprietor | Y |
| Credentials | MSW, L.C.S |
NPI Number Detail
| NPI Number | 1063513513 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2009-05-27 |
Provider Mailing Address Detail
| Address | 5702 Elaine Dr |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611082458 |
| Phone Number | 8152297102 |
| Fax Number | 8152297108 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.010705 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2158705 | COMPSYCH | ||
| 506515 | VALUEOPTIONS | ||
| 7233792 | AETNA | ||
| IL1715 | MEDICARE PTAN | ||
| 10132116 | BC/BS ID | ||
| 830010000 | IL | MAGELLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kelly Ann Kalt by the Centers for Medicare & Medicaid Services?
The Kelly Ann Kalt has been assigned the NPI (National Provider Identifier) 1063513513 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kelly Ann Kalt's physical address?
The Kelly Ann Kalt is physically located at 5702 Elaine Dr, in the city of Rockford, IL, with the postal code 611082458.
What is Kelly Ann Kalt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Ann Kalt's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063513513 to Kelly Ann Kalt?
The Centers for Medicare & Medicaid Services assigned the 1063513513 to Kelly Ann Kalt on 2006-09-26.
When was the information pertaining to Kelly Ann Kalt most recently updated or revised?
The details related to Kelly Ann Kalt, including its address, specialty, and other relevant information, were last updated or revised on 2009-05-27.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY