Kaliszewski, Kevin

Kaliszewski, Kevin is an individual health care provider with primary practice located at 110 Beech St Suite B, Tawas City MI 48763-8314. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kaliszewski, Kevin can be contacted via phone (989) 362-1015.

Contact Information

Primary practice address
110 Beech St Suite B Tawas City MI 48763-8314
Phone: (989) 362-1015
Fax: (989) 362-9862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003895 Michigan

Profile Details

NPI number 1760470488
LBN Legal business name Kaliszewski, Kevin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Apr 6th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760470488 NPPES
Michigan MEDICAID 3370220

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