# KEITH J. KALISH DPM,PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801958087
- **Authorized official:** DR. KEITH JAY KALISH DPM (OWNER)
- **Authorized official phone:** (772) 567-0111

## Contact information

- **Practice address:** 1285 36TH ST, SUITE 203, VERO BEACH, FL 32960-4885
- **Practice address phone:** (772) 567-0111
- **Practice address fax:** (772) 567-7117
- **Mailing address:** 1285 36TH ST, SUITE 203, VERO BEACH, FL 32960-4885
- **Mailing address phone:** (772) 567-0111
- **Mailing address fax:** (772) 567-7117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 08/22/2020