| NPI | 1104230366 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2014-06-16 |
| Last Updated | 2015-07-01 |
| Mailing Address | 3755 Sixes Rd, Suite 202 Canton, GA 30114-7842 United States Phone: (770) 720-1880 📍 View Map |
| Primary Practice Address | 3755 Sixes Rd, Suite 202 Canton, GA 30114-7842 United States Phone: (770) 720-1880 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | GA | 70998 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1104230366
Nathan Michael Kaller D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104230366. The primary specialty listed is Family Medicine. The provider is located in Canton, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-06-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104230366?
NPI 1104230366 belongs to Nathan Michael Kaller D.O., a Family Medicine in Canton, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104230366 active?
The current status of NPI 1104230366 in the NPPES registry is Active. The record was last updated on 2015-07-01.
What specialty is NPI 1104230366?
NPI 1104230366 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104230366?
You can verify NPI 1104230366 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104230366?
The primary practice address on file for NPI 1104230366 is 3755 Sixes Rd, Canton, GA 30114-7842. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104230366 issued?
NPI 1104230366 was first issued (enumerated) on 2014-06-16. The NPPES record was last updated on 2015-07-01.
Practice Location Map
Nathan Michael Kaller is located at 3755 Sixes Rd, Canton, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Nathan Michael Kaller. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104230366. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 70998 | GA |