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1457200735 NPI number — ALEXANDER JOHN KALKE AGACNP

NPI Number: 1457200735
Health Care Provider/Practitioner: ALEXANDER JOHN KALKE AGACNP

Information about “1457200735” NPI (ALEXANDER JOHN KALKE AGACNP) exists in 1457200735 in HTML format HTML  |  1457200735 in plain Text format TXT  |  1457200735 in PDF (Portable Document Format) PDF  |  1457200735 in an XML format XML  formats.

NPI Number : 1457200735 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457200735",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KALKE",
    "FirstName": "ALEXANDER",
    "MiddleName": "JOHN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AGACNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KALKE",
    "OtherFirstName": "ALEX",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "AGACNP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "108 W 350 S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDWAY",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84049-6509",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-260-1802",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "900 ROUND VALLEY DR STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PARK CITY",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84060-7552",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "435-655-6600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/28/2026",
    "LastUpdateDate": "01/28/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "10668638-4405",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "10668638-4405",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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