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General NPI Number Information
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NPI Number | 1639179203
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Entity Type | Individual
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Provider Name | ANDRZEJ EDWARD KALINSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 1243 EBENEZER RD
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City | ROCK HILL
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State | SC
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Zip | 29732-2353
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Country | US
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Telephone | 803-366-9393
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Fax | 803-366-9396
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Provider Business Mailing Address
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Address Line | 1243 EBENEZER RD
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City | ROCK HILL
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State | SC
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Zip | 29732-2353
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Country | US
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Telephone | 803-366-9393
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Fax | 803-366-9396
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 22-17182
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License Number State | SC
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