Provider Demographics
NPI:1013572791
Name:KALASUNAS, KATHERINE L (PA)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:L
Last Name:KALASUNAS
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Gender:F
Credentials:PA
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Mailing Address - Street 1:238 SW 159TH AVE
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2264
Mailing Address - Country:US
Mailing Address - Phone:954-854-0695
Mailing Address - Fax:
Practice Address - Street 1:2950 CLEVELAND CLINIC BLVD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3609
Practice Address - Country:US
Practice Address - Phone:954-659-5559
Practice Address - Fax:954-659-5560
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2023-01-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant