Jennifer L Kalisvaart M.D.

NPI 1073666137 - Pediatrics - 208000000X

NPI Details
NPI 1073666137
Gender Female
Enumeration Date 01/19/2007
Last Updated 11/13/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
105 W 8TH AVE STE 418
SPOKANE WA, 99204-2318, US
Phone (509) 747-3801
Business Location
PO BOX 421
LIBERTY LAKE WA, 99019-0421, US
Phone (866) 674-7245
Taxonomy Code 208000000X
License State California
License Number AFE93313
Remove 1073666137 NPI Number

According to our database, Dr. Jennifer L Kalisvaart M.D. NPI is 1073666137, taxonomy code is 208000000X and license number is AFE93313, license state is located at California. Jennifer L Kalisvaart M.D. physically located at 105 W 8th Ave Ste 418, Spokane WA, 99204-2318. NPI Number Jennifer L Kalisvaart M.D. has the Individual type.

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1073666137 NPI number is provided on an as is basis without warranty of any kind. 1073666137 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer L Kalisvaart M.D. are for informational purposes only.