Search › Wisconsin › 101YA0400X
Mollie Kallas, CSAC, CSIT
NPI 1376187195 · on the registry since 2019
Practice
- Address
- 2000 Fordem Ave
Madison, WI 53704 - Phone
- (608) 280-2740
- Clinicians at this address
- 41
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 171M00000X
101YA0400X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-22
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 Wisconsin