Provider Demographics
NPI:1003825514
Name:KALNINS, LINDA Y (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:Y
Last Name:KALNINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 KNOLLWOOD TRL W
Mailing Address - Street 2:
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-3038
Mailing Address - Country:US
Mailing Address - Phone:973-543-1560
Mailing Address - Fax:973-543-5669
Practice Address - Street 1:12 KNOLLWOOD TRL W
Practice Address - Street 2:
Practice Address - City:MENDHAM
Practice Address - State:NJ
Practice Address - Zip Code:07945-3038
Practice Address - Country:US
Practice Address - Phone:973-543-1560
Practice Address - Fax:973-543-5669
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA59654207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMA59654OtherLICENSE NUMBER
NJE99737Medicare UPIN
NJMA59654OtherLICENSE NUMBER