Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 4301117434 | MI |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | DR.0065760 | CO |
NPI | 1083064968 |
---|---|
Provider Name | Jeremy Kalma |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2016 |
Last Update Date | 22/07/2021 |