Individual
MARIA GREEN KALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
34 LAVELLE CT., UNALASKA, AK 99685
(907) 581-1202
Mailing address
34 LAVELLE CT., PO BOX 144, UNALASKA, AK 99685
(907) 581-1202
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
131031
AK
363AM0700X
Medical Physician Assistant
PA.0004294
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1684141
—
AK
Enumeration date
06/25/2015
Last updated
03/16/2021
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