Individual
ALAN MICHAEL KALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
428 CHARLES SPRING DR, POWELL, OH 43065-8216
(740) 475-9364
Mailing address
428 CHARLES SPRING DR, POWELL, OH 43065-8216
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107771
—
OH
Enumeration date
01/15/2021
Last updated
01/15/2021
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