Individual
JEANETTE KALMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1011 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4226
(330) 629-2888
(330) 629-8940
Mailing address
1011 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4226
(330) 629-2888
(330) 629-8940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN139875
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221185
UNISON
OH
01
—
000000515993
ANTHEM
OH
05
—
0213683
—
OH
01
—
0583328
BCMH
OH
01
—
414986
WELLCARE MEDICAID
OH
01
—
7316581
AETNA
OH
01
—
750673
BUCKEYE MEDICAID
OH
01
—
P00668457
MEDICARE RAILROAD
OH
Enumeration date
03/01/2006
Last updated
03/12/2009
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