Provider Demographics
NPI:1154489102
Name:KALM, SANDRA EVE (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:EVE
Last Name:KALM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 CITRUS GARDEN CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2349
Mailing Address - Country:US
Mailing Address - Phone:702-897-5235
Mailing Address - Fax:
Practice Address - Street 1:2512 CITRUS GARDEN CIR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2349
Practice Address - Country:US
Practice Address - Phone:702-897-5235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12099208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics