Individual
DR. THOMAS KEFALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
(218) 326-1274
(218) 326-9787
Mailing address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
(218) 326-1274
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
44743
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250493600
—
MN
Enumeration date
02/27/2006
Last updated
02/22/2009
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