Provider Demographics
NPI:1699382036
Name:KAL CORP
Entity Type:Organization
Organization Name:KAL CORP
Other - Org Name:COVID CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SWISSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-503-4714
Mailing Address - Street 1:2404 137TH PL SE
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-4601
Mailing Address - Country:US
Mailing Address - Phone:425-503-4714
Mailing Address - Fax:
Practice Address - Street 1:2404 137TH PL SE
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-4601
Practice Address - Country:US
Practice Address - Phone:425-503-4714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory ImmunologyGroup - Single Specialty