NPI 1043402829

Charles John Kallick, MD

Practitioner Psychiatry Physician Westport, CT

Practice location

Address: 12 Crooked Mile Rd, Westport, CT 06880-1123
Phone: (203) 226-3685

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 011345 (CT)

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Registry record

NPI: 1043402829
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2007
Record last updated: 15 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.