Provider Demographics
NPI:1538493309
Name:CHRISTOPHER J KALB, CNP
Entity type:Organization
Organization Name:CHRISTOPHER J KALB, CNP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:KALB
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:419-225-9935
Mailing Address - Street 1:757 YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-3378
Mailing Address - Country:US
Mailing Address - Phone:419-225-9935
Mailing Address - Fax:
Practice Address - Street 1:757 YORKSHIRE DR
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-3378
Practice Address - Country:US
Practice Address - Phone:419-225-9935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP08571363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty