Provider Demographics
NPI:1417175837
Name:KALIN, LOUIS R (PHD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:R
Last Name:KALIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 FONTAINE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2012
Mailing Address - Country:US
Mailing Address - Phone:859-967-3145
Mailing Address - Fax:
Practice Address - Street 1:2006 FONTAINE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-2012
Practice Address - Country:US
Practice Address - Phone:859-967-3145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1408103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical