Provider Demographics
NPI:1982674776
Name:KALMAR, MARY LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:LOUISE
Last Name:KALMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARYLOU
Other - Middle Name:
Other - Last Name:KALMAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3141 CENTENNIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907
Mailing Address - Country:US
Mailing Address - Phone:719-327-5660
Mailing Address - Fax:719-227-4659
Practice Address - Street 1:3141 CENTENNIAL BOULEVARD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907
Practice Address - Country:US
Practice Address - Phone:719-327-5660
Practice Address - Fax:719-622-7465
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42268207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine