Individual
DR. CHAD DAVID KALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3777 COON RAPIDS BOULEVARD, SUITE 100, COON RAPIDS, MN 55433
(763) 421-7420
(763) 421-0730
Mailing address
3777 COON RAPIDS BOULEVARD, SUITE 100, COON RAPIDS, MN 55433
(763) 421-7420
(763) 421-0730
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3265
MN
152W00000X
Optometrist
614
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9203470
—
SD
Enumeration date
02/24/2007
Last updated
07/30/2013
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