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Individual

VICKI KALEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3402 E BROADWAY BLVD, TUCSON, AZ 85716-5406
(520) 881-0050
Mailing address
3402 E BROADWAY BLVD, TUCSON, AZ 85716-5406
(520) 881-0050

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
34452
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033307715
GROUP NPI
AZ
01
1033398201
GROUP NPI
AZ
01
1376731851
GROUP NPI
AZ
01
1396933974
GROUP NPI
AZ
01
1447448923
GROUP NPI
AZ
01
1457543324
GROUP NPI
AZ
01
1588843734
GROUP NPI
AZ
01
1740479518
GROUP NPI
AZ
01
1750579439
GROUP NPI
AZ
01
1770771255
GROUP NPI
AZ
01
1780873307
GROUP NPI
AZ
01
1831387315
GROUP NPI
AZ
01
1871782490
GROUP NPI
AZ
01
Z120952
GROUP PTAN
01
Z126048
GROUP PTAN
AZ
01
Z126262
MEDICARE PTAN
AZ
01
Z126263
MEDICARE PTAN
AZ
Enumeration date
02/20/2006
Last updated
03/13/2009
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