Individual
DR. KEVIN KALWERISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, 60 MDG / SGCXE, TRAVIS AFB, CA 94535-1809
(707) 423-3531
(707) 423-3260
Mailing address
101 BODIN CIR, 60 MDG / SGCXE, TRAVIS AFB, CA 94535-1809
(707) 423-3531
(707) 423-3260
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35095386
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35095386
OHIO LICENSE
OH
Enumeration date
04/10/2007
Last updated
11/08/2011
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