Provider Demographics
NPI:1235752262
Name:KELI MCCALMAN, DO, PA
Entity Type:Organization
Organization Name:KELI MCCALMAN, DO, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:KELI
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCALMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:469-389-2144
Mailing Address - Street 1:5561 VIRGINIA PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5641
Mailing Address - Country:US
Mailing Address - Phone:469-389-2144
Mailing Address - Fax:
Practice Address - Street 1:5561 VIRGINIA PKWY STE 300
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5641
Practice Address - Country:US
Practice Address - Phone:469-389-2144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center