Individual
MS. SUSAN MARGARET KALLAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PHARM D
Contact information
Practice address
4540 CORDATA PKWY, SUITE 101, BELLINGHAM, WA 98226-8059
(360) 255-5049
(360) 778-2395
Mailing address
4540 CORDATA PKWY, SUITE 101, BELLINGHAM, WA 98226-8059
(360) 255-5049
(360) 778-2395
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
60450667
WA
207N00000X
Dermatology Physician
A70271
CA
Other
Enumeration date
12/15/2006
Last updated
03/04/2015
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