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Individual

DR. LOWELL H KALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
245 MAIN ST, DANIELSON, CT 06239-2816
(888) 316-5221
(866) 203-2138
Mailing address
245 MAIN ST, DANIELSON, CT 06239-2816
(757) 371-6772
(866) 203-2138

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101234443
VA
2084P0800X
Psychiatry Physician
029573
CT
2084P0800X
Psychiatry Physician
29573
CT
2084P0804X
Child & Adolescent Psychiatry Physician
0101234443
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
29573
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004945310
VIRGINIA PREMIER
VA
05
010087465
VA
01
142810
TRIGON BCBS/HEALTHKEEPERS
VA
01
O84586M
OPTIMA FAMILY CARE
VA
Enumeration date
09/12/2005
Last updated
01/06/2025
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