Provider Demographics
NPI:1275807174
Name:KALUF, BRIAN (CP)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:KALUF
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2514
Mailing Address - Country:US
Mailing Address - Phone:610-873-6733
Mailing Address - Fax:610-873-6735
Practice Address - Street 1:10 ENTERPRISE BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-6301
Practice Address - Country:US
Practice Address - Phone:864-552-1840
Practice Address - Fax:864-552-1841
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCCP003862224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist