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JOHN R KALLIES PA
NPI 1285630699
Physician Assistant - Surgical in La Crosse, WI

Active since June 22, 2005
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John R Kallies Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN R KALLIES PA (NPI 1285630699) is an individual surgical provider in La Crosse, Wisconsin, licensed in Wisconsin (155) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1285630699
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOHN R KALLIESCredential: PA
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Phone(608) 782-7300
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateOctober 24, 2013
✔ NPI 1285630699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in WI · 155✔ Licensed in IA · 2368
1836 SOUTH AVE, La Crosse, WI 54601
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Other Names 1

Other Name (5)Jack R Kallies Pa

Other Identifiers 3

Medicare PIN0407WI
Medicare UPINR97721
Medicaid42917600WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY BRIAN TROHKIMOINEN M.D.
Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
La Crosse County (608) 775-2031
JESSICA E THESING CRNA
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
DR. MICHAEL DAVID SMITH PSY.D.
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JESSICA MAE RASMUSSEN
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JULIE SONSALLA APNP
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
LAURA KLINGBEIL
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
SUSAN CAROL SORRENTINO RN
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
NAOMI MUTHONI RUIRU APNP
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Kallies's NPI number?

The NPI number for John Kallies is 1285630699. It was assigned to this individual provider in the NPPES registry on June 22, 2005. The provider is also known as Jack R Kallies PA.

Where is John Kallies located?

John Kallies practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is John Kallies's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for John Kallies was last updated on October 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.