Mr. Charles J Kallick, MD
Psychiatry & Neurology, Psychiatry in Westport, Connecticut
1043402829- Practice location
- 12 Crooked Mile RD, Westport, CT 06880-1123
- Phone
- 203-226-3685
- Fax
- —
- Last updated
- August 15, 2007
Charles John Kallick is a Psychiatry & Neurology, Psychiatry based in Westport, CT. Charles John Kallick practices in Westport, CT and has the professional credentials of MD. The NPI Number for Charles John Kallick is 1043402829 and holds a License No. 011345 (CT). The current practice location address for Charles John Kallick is 12 Crooked Mile RD, Westport, CT 06880-1123 and can be reached out via phone at 203-226-3685.
Provider Profile Details
- NPI Number
- 1043402829
- Provider Name
- Charles John Kallick
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12 Crooked Mile RD, Westport, CT 06880-1123
- Phone Number
- 203-226-3685
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 15, 2007
- Last Update Date
- August 15, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Crooked Mile RD
Westport, CT 06880-1123 - City
- Westport
- State
- Connecticut
- Zip
- 06880-1123
- Phone Number
- 203-226-3685
Provider Business Mailing Address Details
- Address
- 12 Crooked Mile RD
Westport, CT 06880-1123 - City
- Westport
- State
- CT
- Zip
- 06880-1123
- Phone Number
- 203-226-3685
License Information
- License Number
- 011345
- License State
- CT
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Charles J Kallick, MD?
The NPI number of Mr. Charles J Kallick, MD is 1043402829. It was assigned on August 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Charles J Kallick, MD?
Mr. Charles J Kallick, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 011345.
Where does Mr. Charles J Kallick, MD practice?
The practice location is 12 Crooked Mile RD, Westport, CT 06880-1123. The office can be reached at 203-226-3685 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043402829 directly on the NPPES registry website.