| Kalata Family Practice | |
|
404 E 8th St Erie PA 16503-1204 | |
| (814) 454-1851 | |
| (814) 455-8313 |
| Full Name | Kalata Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 404 E 8th St, Erie, Pennsylvania |
| Authorized Official Name and Position | John C. Kalata (OWNER) |
| Authorized Official Contact | 8144541851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalata Family Practice 404 E 8th St Erie PA 16503-1204 Ph: (814) 454-1851 | Kalata Family Practice 404 E 8th St Erie PA 16503-1204 Ph: (814) 454-1851 |
| NPI Number | 1619050085 |
|---|---|
| Provider Enumeration Date | 10/21/2006 |
| Last Update Date | 09/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619050085 | NPI | - | NPPES |
| 0005713500001 | Medicaid | PA | |
| 675253 | Other | PA | KEYSTONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS006320L (Pennsylvania) | Primary |
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