Keith J. Kalish DPM, PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KEITH J. KALISH DPM, PA

Practice address

2500 Quincy Ave
Fort Pierce, FL 34947-4766

Phone

(772) 465-3207

Fax

(772) 465-3235

NPI assigned

Dec 11, 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, DPM

Title

Owner

Phone

(772) 465-3207

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Keith J Kalish DPM PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Keith J. Kalish DPM,PA

  • Durable Medical Equipment & Medical Supplies
  • Vero Beach, FL
  • NPI 1801958087
  NPD tax ID

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457411563",
    "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": "2500 QUINCY AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474766",
            "telephone_number": "772-465-3207",
            "fax_number": "772-465-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH J. KALISH DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALISH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-465-3207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC#",
            "identifier": "PO 001790",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Joseph Katta, MD
• Michelle Marie Kee-Smith, CRT
• Mary Jane Keegan
• Patricia Marie Keeler, A.R.N.P.
• Pamala Sue Keen
• Erin Kelley, OTR/L
• Stephanie Dawn Kelloes
• Leona M. Kelly
• Edward Kelmenson, MD
• Harry Greene Kennedy Jr., M.D.

• Durable Medical Equipment & Medical Supplies in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.