Keith J Kalish DPM PA

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PO-001790 Issued in FL

Legal business name

KEITH J KALISH DPM PA

Practice address

1285 36TH St
Suite 203
Vero Beach, FL 32960-4885

Phone

(772) 567-0111

Fax

(772) 567-7117

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith Jay Kalish, D P M

Title

Owner-President

Phone

(772) 465-3207

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1295804367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 QUINCY AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474766",
            "telephone_number": "772-465-3207",
            "fax_number": "772-465-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 36TH ST",
            "address_2": "SUITE 203",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604885",
            "telephone_number": "772-567-0111",
            "fax_number": "772-567-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH J KALISH DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "KALISH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "772-465-3207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D P M"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO-001790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC#",
            "identifier": "PO-001790",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Kearney, LPN
• Caroline T Kedem, M.D.
• Asa Keeler
• Malia Keen, APRN
• Vanessa P Keen, PHARM D
• Keith J Kalish DPM PA
• Keith J. Kalish DPM,PA
• Beth Kelchner, OTR
• Joseph Wade Keller, PA-C
• Kristin Luebbert Kelly, M.D.

• Foot Surgery Podiatrist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Foot Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.