Dr. Jean Marie Kallis
MD | Pediatric Emergency Medicine | Female
Dr. Jean Marie Kallis, MD is a Louisville, Kentucky based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine. Dr. Jean Marie Kallis is also known as
Jean Marie Ogburn.
Current practice location of Dr. Jean Marie Kallis is
231 E Chestnut St, Louisville, Kentucky - 40202-1821. She can be contacted on phone at
502-629-6000 and fax number 502-629-5991.
Dr. Jean Marie Kallis is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jean Marie Kallis is
1083685317 which was assigned by NPPES on 26 Jan, 2006 and it was last updated on 08 Apr, 2020.
Dr. Jean Marie Kallis license number is
31457 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Kentucky.
Dr. Jean Marie Kallis has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Jean Marie Kallis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Jean Marie Kallis |
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| Other Name : | Jean Marie Ogburn |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Jean Marie Kallis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 231 E Chestnut St
Louisville, KY, 40202-1821
United States |
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| Phone Number : | 502-629-6000 |
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| Fax Number : | 502-629-5991 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1083685317 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jan, 2006 |
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| Last Updated On : | 08 Apr, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jean Marie Kallis are as mentioned. Primary taxonomy code for Dr. Jean Marie Kallis, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 31457 | KY |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 31457 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jean Marie Kallis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 200012490 | MEDICAID | IN | |
| 64937543 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 776879
Chicago, IL, 60677-6879
United States |
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| Phone Number : | 502-588-9490 |
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| Fax Number : | 502-272-5116 |
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Business Location:
Patients can refer following map for directions to
Dr. Jean Marie Kallis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.