Healthcare Provider Details

I. General information

NPI: 1982099859
Provider Name (Legal Business Name): KALI HOBSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 CLIFTON RD NE
ATLANTA GA
30322-4020
US

IV. Provider business mailing address

890 OAK ST SE
SALEM OR
97301-3905
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-3428
  • Fax:
Mailing address:
  • Phone: 35-561-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD60852463
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number90681
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number90681
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: