Provider Demographics
NPI:1982715389
Name:KALB, JULIE L (DO)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:L
Last Name:KALB
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:81 E WILSON BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2301
Mailing Address - Country:US
Mailing Address - Phone:614-234-9889
Mailing Address - Fax:614-234-9885
Practice Address - Street 1:81 E WILSON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2301
Practice Address - Country:US
Practice Address - Phone:614-234-9889
Practice Address - Fax:614-234-9885
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006713207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH311070934OtherTAX ID UNITEDHEALTHCARE
OH311070934OtherTAX ID FOR OTHER PLANS
OH000000345485OtherUNICARE
OH000000345485OtherANTHEM BC BS
OH000000345485OtherUNICARE
OH311070934OtherTAX ID FOR OTHER PLANS