National Provider Identifier

Kurt Thomas Callison, D.O.

Kurt Thomas Callison, D.O. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Painted Post, NY and a listed phone number of (607) 936-2089.

NPI 1689014128Painted Post, NYFamily Medicine Physician

Profile Overview

NPI
1689014128
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
June 28, 2013
Last Updated
June 09, 2016

Practice Location

  • 418 S Hamilton St
  • Suite 109
  • Painted Post, NY 14870-9705

Phone: (607) 936-2089

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Family Medicine Physician (207Q00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1689014128
Entity Type
Individual
Last Name
Callison
First Name
Kurt
Middle Name
Thomas
Name Prefix
Dr.
Credential
D.O.
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Practice Street Address
418 S Hamilton St
Practice Address Line 2
Suite 109
Practice City
Painted Post
Practice State
NY
Practice ZIP Code
14870-9705
Practice Country
US
Practice Phone
(607) 936-2089
Practice Fax
(607) 936-8176
Enumeration Date
June 28, 2013
Last Updated
June 09, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)
Other Identifiers
103055103 (PA), 04159835 (NY)