Individual
CHARLES KALSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-0136
Mailing address
PO BOX 4777, BLOOMINGTON, IN 47402-4777
(812) 336-1690
(812) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01053980
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200247780
—
IN
Enumeration date
07/14/2006
Last updated
07/16/2010
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