Individual
TONYA A KALLMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 GRAND AVE, NEWPORT, KY 41071-2570
(859) 301-5901
(859) 301-5940
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-5901
(859) 301-5940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2356
KY
363A00000X
Physician Assistant
TC708
KY
363AM0700X
Medical Physician Assistant
0110003641
VA
Other
Enumeration date
08/01/2011
Last updated
02/25/2022
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