Provider Demographics
NPI:1982336400
Name:NORSEKAL LLC
Entity Type:Organization
Organization Name:NORSEKAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTOFOR
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KALVIG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:515-570-5764
Mailing Address - Street 1:3315 E 47TH PL STE 102
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2911
Mailing Address - Country:US
Mailing Address - Phone:918-951-0968
Mailing Address - Fax:
Practice Address - Street 1:3315 E 47TH PL STE 102
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2911
Practice Address - Country:US
Practice Address - Phone:918-951-0968
Practice Address - Fax:918-749-2350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Multi-Specialty