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NPI Code Detail

MEDICARE: KALTO OCCUPATIONAL

MEDICARE: KALTO OCCUPATIONAL
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
1261QX0100XOccupational Medicine Clinic/CenterL8288TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1L8288OTHERTXLICENSE

General Provider Information

NPI Number : 1497118392
Entity Type Code : Organization
Provider Name (Legal Business Name) : KALTO OCCUPATIONAL
Provider Business Mailing Address
First Line : 1003 NEDERLAND AVE
Second Line :
City : NEDERLAND
State : TX
Zip : 77627
Country : US
Telephone Number : 409-221-5583
Fax Number : 409-344-9592
Provider Business Practice Location Address
First Line : 1003 NEDERLAND AVE
Second Line :
City : NEDERLAND
State : TX
Zip : 77627-2832
Country : US
Telephone Number : 409-221-5583
Fax Number : 409-344-9592
Authorized Official
Title or Position : OWNER/NURSE PRACTITIONER
Name : MR. KEVIN G MORGAN
Credential : FNP-BC
Telephone Number : 409-221-5583
Provider Enumeration Date : 03/30/2016
Last Update Date : 03/30/2016

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Directions to “KALTO OCCUPATIONAL ” Practice Location

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