Individual
DR. JEFFREY C KALT
Active
Individual
DR. JEFFREY C KALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301051524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004237942
AETNA
—
01
—
0308390001
ADMINASTAR
—
01
—
101836
GREAT LAKES
—
01
—
180023697
RAILROAD MEDICARE
—
01
—
180F375320
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
180F375320
BLUE CARE NETWORK
—
05
—
3117704
—
MI
01
—
4237942
DETROIT MEDICAL CENTER
—
01
—
C3069
MCARE
—
01
—
E89376
HAP
—
Enumeration date
12/30/2005
Last updated
04/21/2025
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