Individual
KENNETH A KALINOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4646 ROCKCLIFF RD, AUSTIN, TX 78746-1232
(512) 565-5791
Mailing address
4646 ROCKCLIFF RD, AUSTIN, TX 78746-1232
(512) 565-5791
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
SELF
—
Enumeration date
11/28/2017
Last updated
11/28/2017
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