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Search › Pennsylvania › 207SG0201X

Staci Kallish, DO

NPI 1811152796 · on the registry since 2008

Practice

Address
3400 Civic Center Blvd.
1st Floor
Philadelphia, PA 19104
Phone
(215) 662-2454
Organisation at this address
University Of Pennsylvania
Faith & Hope Boutique, Llc
University Of Penn-Medical Group
University Of Penn-Medical Group
University Of Penn-Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,049

Registry record

Primary taxonomy
207SG0201X
207SG0201X
Also registered as
207SG0202X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania