Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | 4871 | AK |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 4871 | AK |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 4871 | AK |
NPI | 1225001399 |
---|---|
Provider Name | Dr. James E Kallman |
First Address | Anchorage, AK 99508 |
Second Address | Anchorage, AK 99508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 26/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
70702 | (02) | AK |
MD85591 | (05) | AK |