Individual
DR. JOHN JOSEPH KALATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
404 E 8TH ST, ERIE, PA 16503-1204
(814) 454-1851
(814) 455-8313
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2507
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0S006220L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010890100001
—
PA
01
—
675253
KEYSTONE
PA
Enumeration date
07/13/2005
Last updated
02/13/2020
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