Provider Demographics
NPI:1033329933
Name:KALKHUIS, ANN M (RPA)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:M
Last Name:KALKHUIS
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Gender:F
Credentials:RPA
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Mailing Address - Street 1:20 GRAND ST
Mailing Address - Street 2:FL 3
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1035
Mailing Address - Country:US
Mailing Address - Phone:845-369-8800
Mailing Address - Fax:845-987-5979
Practice Address - Street 1:100 ROUTE 59
Practice Address - Street 2:SUITE 101
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4927
Practice Address - Country:US
Practice Address - Phone:845-357-8800
Practice Address - Fax:845-357-0086
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2022-08-15
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Provider Licenses
StateLicense IDTaxonomies
NY004173363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical