Healthcare Provider Details

I. General information

NPI: 1568656627
Provider Name (Legal Business Name): ROBERT L KALB MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2007
Last Update Date: 01/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 SUNFOREST CT SUITE 119
TOLEDO OH
43623-4475
US

IV. Provider business mailing address

3900 SUNFOREST CT SUITE 119
TOLEDO OH
43623-4475
US

V. Phone/Fax

Practice location:
  • Phone: 419-472-3791
  • Fax: 419-472-6219
Mailing address:
  • Phone: 419-472-3791
  • Fax: 419-472-6219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT KALB
Title or Position: PRESIDENT
Credential: M.D.
Phone: 419-472-3791