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.
Organization
KEVIN J KALLAL MD PA
Active
Organization
KEVIN J KALLAL MD PA
Active
Other names
Kallal Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J KALLAL M.D. (OWNER/PRESIDENT)
(817) 431-0606
Entity
Organization
Contact information
Practice address
240 N RUFE SNOW DR, KELLER, TX 76248-4226
(817) 431-0606
(817) 379-0155
Mailing address
5015 FORT AVE, WACO, TX 76710-5828
(817) 431-0606
(817) 379-0155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H7766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861408205
INDIVIDUAL NPI
TX
Enumeration date
03/10/2008
Last updated
12/19/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up