Individual
KIMBERLY GRAY KALLIANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE, M391, SAN FRANCISCO, CA 94143-2204
(617) 459-9393
Mailing address
505 PARNASSUS AVE, M391, SAN FRANCISCO, CA 94143-2204
(617) 459-9393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248208
MA
2085R0202X
Diagnostic Radiology Physician
Primary
123808
CA
Other
Enumeration date
06/22/2011
Last updated
04/02/2016
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