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NPI Code Detail

MEDICARE: KALI NICOLE CALKINS

MEDICARE: KALI NICOLE CALKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist326012LA

General Provider Information

NPI Number : 1164005450
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALI NICOLE CALKINS
Provider Business Mailing Address
First Line : 484 ALBERTSON PKWY STE A
Second Line :
City : BROUSSARD
State : LA
Zip : 70518-4968
Country : US
Telephone Number : 337-839-8883
Fax Number : 337-839-8939
Provider Business Practice Location Address
First Line : 1700 KALISTE SALOOM RD STE 300
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-6187
Country : US
Telephone Number : 337-269-1161
Fax Number : 337-269-1169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2021
Last Update Date : 05/04/2021

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Directions to “ KALI NICOLE CALKINS ” Practice Location

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