Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 15607 | CA |
NPI | 1215075767 |
---|---|
Provider Name | Dr. Karl Kallmann |
First Address | Fresno, CA 93705-1762 |
Second Address | Fresno, CA 93705-1762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2007 |
Last Update Date | 08/07/2007 |