Individual
GUNTIS KALNINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(740) 395-8805
(740) 395-8855
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 395-8805
(740) 395-8855
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35054583
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305152
OH MEDICAID UNISON
OH
01
—
2295949
OH MEDICAID MOLINA
OH
05
—
2295949
—
OH
01
—
310917085231
OHIO MEDICAID CARESOURCE
OH
05
—
3810014232
—
WV
01
—
P00833938
RAILROAD MEDICARE
OH
Enumeration date
05/24/2006
Last updated
02/18/2014
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