Individual
DR. JEAN MARIE KALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 629-5991
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
31457
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
31457
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200012490
—
IN
05
—
64937543
—
KY
Enumeration date
01/26/2006
Last updated
11/18/2024
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