Most Relevant Information
Provider Data
| NPI Number: | 1003645870 |
| Provider Name: | KALI KONSTANTINOPOULOS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/30/2024 |
| Last Updated: | 07/30/2024 |
Provider Practice Location
1152 HOLLY LN
MUNSTER
IN
463213012
Practice Location Phone/Fax
| Phone: | 2193144417 |
| Fax: |
Provider Mailing Location
1152 HOLLY LN
MUNSTER
IN
463213012
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |