Provider Demographics
NPI:1386684074
Name:KALKER, LAWRENCE CHARLES (DPM)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:CHARLES
Last Name:KALKER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 S SYCAMORE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1533
Mailing Address - Country:US
Mailing Address - Phone:215-968-4048
Mailing Address - Fax:215-968-4396
Practice Address - Street 1:6 S SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1533
Practice Address - Country:US
Practice Address - Phone:215-968-4048
Practice Address - Fax:215-968-4396
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003447L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAKA649065Medicaid
PA20101Medicaid
PAUO6478Medicare UPIN