Provider Demographics
NPI:1659803468
Name:KALINA, KENT MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:MICHAEL
Last Name:KALINA
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 1:1661 N SWAN RD
Mailing Address - Street 2:SUITE 200-1
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-4042
Mailing Address - Country:US
Mailing Address - Phone:520-975-7925
Mailing Address - Fax:
Practice Address - Street 1:1661 N SWAN RD
Practice Address - Street 2:SUITE 200-1
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4042
Practice Address - Country:US
Practice Address - Phone:520-975-7925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ538812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry