Organization
DAVID KALIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H KALLIS PSYD (LIMITED LIABILITY CORP-S)
(303) 482-7041
Entity
Organization
Contact information
Practice address
357 MCCASLIN BLVD, STE 200, LOUISVILLE, CO 80027-2941
(303) 482-7041
(303) 416-4356
Mailing address
357 MCCASLIN BLVD, STE 200, LOUISVILLE, CO 80027-2941
(303) 482-7041
(303) 416-4356
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0003755
CO
1041C0700X
Clinical Social Worker
CSW,00000077
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78085063
—
CO
Enumeration date
01/22/2016
Last updated
12/03/2020
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