Individual
DR. STEVEN KALLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
44185
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017212
KAISER COMMERCIAL NUMBER
CO
05
—
47028700
—
CO
Enumeration date
03/07/2007
Last updated
02/16/2015
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