Individual
DR. KEVIN RYAN KALISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125063399
IL
2085R0202X
Diagnostic Radiology Physician
036.147465
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2018-00681
NC
2085R0202X
Diagnostic Radiology Physician
57.024604
OH
Other
Enumeration date
06/12/2013
Last updated
11/13/2023
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