Charles John Kallick, MD
Psychiatry & Neurology, Psychiatry in Westport, CT. Individual provider (NPI-1).
NPI number1043402829
StatusActive
Last updated in NPPESAug 15, 2007
Details
- NPI
- 1043402829
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles John Kallick
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2007
- Last updated
- Aug 15, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 011345 | CT | Yes |
Practice location
12 Crooked Mile RdWestport, CT 06880-1123
Phone 203-226-3685
Mailing address
12 Crooked Mile RdWestport, CT 06880-1123
Phone 203-226-3685
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