Kalish, Miranda

Kalish, Miranda is an individual health care provider with primary practice located at 4600 Memorial Dr , Belleville IL 62226-5368. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kalish, Miranda can be contacted via phone (618) 235-8720.

Contact Information

Primary practice address
4600 Memorial Dr Belleville IL 62226-5368
Phone: (618) 235-8720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085005407 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-799 Arkansas

Profile Details

NPI number 1588056147
LBN Legal business name Kalish, Miranda
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2015
Last updated Sep 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers