Leslie Rea Kallevang, MD | |
1275 N High St, Hillsboro, OH 45133-8273 | |
(937) 393-6100 | |
(614) 293-2809 |
Full Name | Leslie Rea Kallevang |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 1275 N High St, Hillsboro, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699238550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35.152898 (Ohio) | Primary |
207P00000X | Emergency Medicine | M-2376 (Guam) | Secondary |
207P00000X | Emergency Medicine | 0101275374 (Virginia) | Secondary |
Entity Name | Guam Healthcare Development Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266 |
Mailing Address | Practice Location Address |
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Leslie Rea Kallevang, MD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (937) 393-6100 | Leslie Rea Kallevang, MD 1275 N High St, Hillsboro, OH 45133-8273 Ph: (937) 393-6100 |
Keith J Harkins, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1275 N High St, Hillsboro, OH 45133 Phone: 937-393-6100 Fax: 937-619-4150 | |
Dr. Brad Stewart Goldman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1275 N High St, Hillsboro, OH 45133 Phone: 937-393-6100 Fax: 614-293-2809 |