# AIDA KALLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841201563
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 0101232965 | VA | — |
| 208D00000X | General Practice Physician | 0101232965 | VA | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 01/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005873916 | — | VA |
| 05 | — | 010056233 | — | VA |