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NPI Code Detail

MEDICARE: MS. JO ANN KALB LCSW

MEDICARE: MS. JO ANN KALB LCSW
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1770896193
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JO ANN KALB LCSW
Provider Business Mailing Address
First Line : 2821 KLEMPNER WAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-4203
Country : US
Telephone Number : 502-452-6341
Fax Number : 502-452-6718
Provider Business Practice Location Address
First Line : 2821 KLEMPNER WAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-4203
Country : US
Telephone Number : 502-452-6341
Fax Number : 502-452-6718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2010
Last Update Date : 07/15/2010

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