Basic Information
| Provider Information | |||||||||
| NPI: | 1780677484 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KALTER | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2025 W OKLAHOMA AVE | ||||||||
| Address2: | SUITE 124 | ||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532154455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4146725250 | ||||||||
| FaxNumber: | 4146722290 | ||||||||
| Practice Location | |||||||||
| Address1: | 770 INDIAN BOUNDARY RD STE 200 | ||||||||
| Address2: | |||||||||
| City: | CHESTERTON | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463041519 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2198726566 | ||||||||
| FaxNumber: | 2193958077 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/26/2005 | ||||||||
| LastUpdateDate: | 03/30/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 40064 | WI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.