Organization
PERRY KALIS M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY M KALIS M.D. (PRESIDENT)
(740) 588-0008
Entity
Organization
Contact information
Practice address
129 NORTH MAYSVILLE AVENUE, SUITE B, SOUTH ZANESVILLE, OH 43701
(740) 588-0008
(740) 588-0143
Mailing address
129 NORTH MAYSVILLE AVE, SUITE B, SOUTH ZANESVILLE, OH 43701-7507
(740) 588-0008
(740) 588-0143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35038121K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000122256
ANTHEM INDIVIDUAL
OH
01
—
000000162736
ANTHEM-GROUP
OH
01
—
000000217078
ANTHEM-LAB
OH
01
—
0404062
UNITED HEALTHCARE
OH
05
—
2056028
—
OH
01
—
210780
NATIONWIDE INSURANCE
OH
01
—
23572743500
BWC
OH
01
—
235727435003
MEDICAL MUTUAL
OH
01
—
6952646002
CIGNA
OH
01
—
M38121A
HEALTH PLAN
OH
Enumeration date
11/15/2006
Last updated
07/30/2008
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