Michael Dennis Kalos, DNP, RN, CWOCN

Primary specialty

Ostomy Care Registered NurseTaxonomy code 163WX1500X

License

2127334 Issued in MN

Practice address

14123 Jardin Ave N
Hugo, MN 55038-4434

Phone

(919) 697-6447

NPI assigned

Jan 1, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1013505494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14123 JARDIN AVE N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550384434",
            "telephone_number": "919-697-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14123 JARDIN AVE N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550384434",
            "telephone_number": "919-697-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOS",
        "first_name": "MICHAEL",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DNP, RN, CWOCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "MN",
            "license": "2127334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugo Dental Care PLLC
• Megan Hydukovich, RDN, LD, CDE
• Maggi Leigh Johnson, M.D.
• Michele Terese-Marie Jones
• Karla Rae Juvonen, PA
• Neeti Kambale, DO
• Kevin L Kampfe, MD
• Katie Kapphahn
• Amy Kauffman
• Paige Kedrowski

• Registered Nurse in Hugo, MN
• Providers in Hugo, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.