Doctor Name: | MS. ANN M KALKHUIS |
NPI Number: | 1033329933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA |
License Number: | 004173 |
Business Practice Address: | 100 Route 59 Suite 101 Suffern, NY - 109014927 |
Business Phone Number: | 8453578800 |
Business Fax Number: | 8453570086 |
Mailing Address: | 20 Grand St, 3rd Floor WARWICK |
State: | NY |
Postal Code: | 109901035 |
Phone Number: | 8459873952 |
Fax Number: | 8459875979 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 06/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 004173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |