Provider Demographics
NPI:1497917900
Name:MARSHALL N. KALINSKY, D.P.M.
Entity Type:Organization
Organization Name:MARSHALL N. KALINSKY, D.P.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:F
Authorized Official - Last Name:PYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-766-1632
Mailing Address - Street 1:1611 SAVANNAH HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-2254
Mailing Address - Country:US
Mailing Address - Phone:843-766-1632
Mailing Address - Fax:843-763-9430
Practice Address - Street 1:1611 SAVANNAH HWY
Practice Address - Street 2:SUITE A
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-2254
Practice Address - Country:US
Practice Address - Phone:843-766-1632
Practice Address - Fax:843-763-9430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0054332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE2775OtherMEDICAID DME
SCPD0546Medicaid
SCPD0546Medicaid
SCDE2775OtherMEDICAID DME
SCT246110281Medicare PIN