Individual
JEFFREY I KALISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
744 NOAH DRIVE, SUITE 113-315, JASPER, GA 30143
(706) 301-1098
(706) 301-9151
Mailing address
744 NOAH DR, SUITE 113-315, JASPER, GA 30143-8705
(706) 301-1098
(706) 301-9151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
048622-23-11
NH
367500000X
Certified Registered Nurse Anesthetist
101-0031149
VT
367500000X
Certified Registered Nurse Anesthetist
Primary
147022
GA
367500000X
Certified Registered Nurse Anesthetist
1724492
FL
367500000X
Certified Registered Nurse Anesthetist
3099A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011062
—
VT
05
—
30342515
—
NH
05
—
3050611 00
—
FL
05
—
995335579K
—
GA
Enumeration date
09/21/2005
Last updated
10/11/2013
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