Individual
PEGGY C. KALKOUNOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
21 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 939-2616
(239) 939-9093
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS11041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002823900
—
FL
01
—
9033619
AETNA
FL
01
—
P00877440
RAILROAD MCR
FL
Enumeration date
09/28/2010
Last updated
04/01/2011
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