Provider Demographics
NPI:1518053552
Name:KALEMBER, ROBERT L (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:L
Last Name:KALEMBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3006 BEACON CT
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53546
Mailing Address - Country:US
Mailing Address - Phone:608-754-7660
Mailing Address - Fax:
Practice Address - Street 1:3418 NORTH COUNTY TRUNK HIGHWAY
Practice Address - Street 2:ROCK HAVEN
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53547-0351
Practice Address - Country:US
Practice Address - Phone:608-757-5000
Practice Address - Fax:608-757-5026
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI169980202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00235852OtherPALMETTO GBA
WI31187000Medicaid
WI31187000Medicaid
001300908Medicare ID - Type Unspecified
P00235852OtherPALMETTO GBA