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Individual
TERRY JOHN KALLNER JR.
Active
Individual
TERRY JOHN KALLNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F343143
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331833
MEDICARE OSCAR
NY
01
—
53099A
MEDICARE PIN
NY
Enumeration date
07/16/2018
Last updated
10/24/2023
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