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NPI Code Detail

MEDICARE: KRISS ANYIAM KALU

MEDICARE: KRISS ANYIAM KALU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH036106GA

General Provider Information

NPI Number : 1427990662
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISS ANYIAM KALU
Provider Business Mailing Address
First Line : 794 S PARK ST
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-3826
Country : US
Telephone Number : 770-838-1678
Fax Number :
Provider Business Practice Location Address
First Line : 794 S PARK ST
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-3826
Country : US
Telephone Number : 770-838-1678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ KRISS ANYIAM KALU ” Practice Location

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