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NPI Code Detail

MEDICARE: KALI MCCALVIN

MEDICARE: KALI MCCALVIN
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1790328649
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALI MCCALVIN
Provider Business Mailing Address
First Line : 410 E CHURCH ST
Second Line :
City : FORT VALLEY
State : GA
Zip : 31030-3097
Country : US
Telephone Number : 478-825-6499
Fax Number :
Provider Business Practice Location Address
First Line : 410 E CHURCH ST
Second Line :
City : FORT VALLEY
State : GA
Zip : 31030-3097
Country : US
Telephone Number : 478-988-1122
Fax Number : 478-825-2160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2019
Last Update Date : 10/23/2019

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Directions to “ KALI MCCALVIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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