Provider Demographics
NPI:1326341264
Name:KENNETH KALMAN PC
Entity Type:Organization
Organization Name:KENNETH KALMAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KALMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:631-224-3042
Mailing Address - Street 1:2381 SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-2030
Mailing Address - Country:US
Mailing Address - Phone:631-224-3042
Mailing Address - Fax:631-224-3044
Practice Address - Street 1:2381 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-2030
Practice Address - Country:US
Practice Address - Phone:631-224-3042
Practice Address - Fax:631-224-3044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty