Healthcare Provider Details

I. General information

NPI: 1952347338
Provider Name (Legal Business Name): CHRISTOPHER J. KALB CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 W MARKET ST
LIMA OH
45805-2738
US

IV. Provider business mailing address

PO BOX 951999
CLEVELAND OH
44193-0021
US

V. Phone/Fax

Practice location:
  • Phone: 419-226-5077
  • Fax:
Mailing address:
  • Phone: 419-996-5114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCOA.08571-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN245423
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: