Healthcare Provider Details

I. General information

NPI: 1982336400
Provider Name (Legal Business Name): NORSEKAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 02/13/2023
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 E 47TH PL STE 102
TULSA OK
74135-2911
US

IV. Provider business mailing address

3315 E 47TH PL STE 102
TULSA OK
74135-2911
US

V. Phone/Fax

Practice location:
  • Phone: 918-951-0968
  • Fax: 918-749-2350
Mailing address:
  • Phone: 918-951-0968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTOFOR JAMES KALVIG
Title or Position: PRESIDENT/CEO
Credential: DPM
Phone: 515-570-5764