MEDICARE: KALIN FISHER MD

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
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	C1-0027036	DE

General Provider Information

NPI Number	:	1275881195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALIN FISHER MD

Provider Business Mailing Address
First Line	:	211 EXECUTIVE DR STE 11
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19702-3358
Country	:	US
Telephone Number	:	304-312-8606
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 EXECUTIVE DR STE 11
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19702-3358
Country	:	US
Telephone Number	:	302-731-2888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2012
Last Update Date	:	11/19/2024

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