Kenneth Kallies, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

572418 Issued in TX

Practice address

9540 Dileen St
San Antonio, TX 78263-9625

Phone

(210) 643-6760

NPI assigned

Jan 21, 2014

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1811310253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9540 DILEEN ST.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78263",
            "telephone_number": "210-643-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9540 DILEEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782639625",
            "telephone_number": "210-643-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIES",
        "first_name": "KENNETH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "572418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derick L Kalinowski, PT, DPT
• Lori Kalisek
• Connor Kalisky
• Noemi Kalk
• Kenneth L Kalkwarf, DDS
• Beela Blessan Kallimel, FNP-C
• Kallison Ranch Smiles PLLC
• Stuart Roy Kalmus II, D.D.S.
• Juntree Kalof, PTA
• Megan Kalpin

• Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.