Kevin J Kallal Md Pa in Waco - Family Medicine
Kevin J Kallal Md Pa - NPI 1891965505
Kevin J Kallal Md Pa is a Family Medicine in Waco, Texas. Kevin J Kallal Md Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kevin J Kallal Md Pa is 1891965505. The last update date is 2019-12-19.
Kevin J Kallal Md Pa's current location address is 5015 Fort Ave, Waco, Texas. You can contact this provider via phone number 8174310606 and fax number 8173790155. The mailing address for Kevin J Kallal Md Pa is 5015 Fort Ave, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kevin J Kallal Md Pa |
|---|---|
| Address | 5015 Fort Ave, Waco, Texas |
| Phone Number | 8174310606 |
| Fax Number | 8173790155 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Kallal J Kevin |
| Credentials | M.D. |
| Telephone Number | 8174310606 |
NPI Number Detail
| NPI Number | 1891965505 |
|---|---|
| Provider Enumeration Date | 2008-03-10 |
| Last Updated Date | 2019-12-19 |
Provider Mailing Address Detail
| Address | 5015 Fort Ave |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767105828 |
| Phone Number | 8174310606 |
| Fax Number | 8173790155 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | H7766 |
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Definition: 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 i |
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What is the unique 10-digit identification code assigned to Kevin J Kallal Md Pa by the Centers for Medicare & Medicaid Services?
The Kevin J Kallal Md Pa has been issued the NPI (National Provider Identifier) 1891965505, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kevin J Kallal Md Pa located?
The Kevin J Kallal Md Pa is located at 5015 Fort Ave, Waco, TX 767105828.
What is the Kevin J Kallal Md Pa's specialty and taxonomy code?
The Kevin J Kallal Md Pa's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did Kevin J Kallal Md Pa receive its 1891965505 assignment?
The Kevin J Kallal Md Pa was assigned its 1891965505 on 2008-03-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Kevin J Kallal Md Pa most recently updated or revised?
The information pertaining to Kevin J Kallal Md Pa, including its address, specialty, and other relevant details, was last updated or revised on 2019-12-19.
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