Provider Demographics
NPI:1780958298
Name:CHATHAM, KALI N (MS)
Entity type:Individual
Prefix:MS
First Name:KALI
Middle Name:N
Last Name:CHATHAM
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 MADISON OAK DR
Mailing Address - Street 2:SUITE 450
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4084
Mailing Address - Country:US
Mailing Address - Phone:210-730-9607
Mailing Address - Fax:210-730-9693
Practice Address - Street 1:502 MADISON OAK DR
Practice Address - Street 2:SUITE 450
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4084
Practice Address - Country:US
Practice Address - Phone:210-730-9607
Practice Address - Fax:210-730-9693
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS