NPI Registry.org

William Ken Mccallum

NPI Registration Record

Provider / OrganizationNPIDate Certified
WILLIAM KEN MCCALLUM18316588062022-10-01

William Ken Mccallum is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831658806. Registration indicates William Ken Mccallum is a provider of services with a specialization in Other Service Providers, Military Health Care Provider (Military Health Care Provider, ) (Military Health Care Provider, Other Service Providers) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)

Entity TypeIndividual
Provider Name William Ken Mccallum MD
Practice Office Address60 MDG/SGGE
101 BODIN CIRCLE
TRAVIS AFB, CA US
Practice Office Telephone7074233825
Mailing Address101 BODIN CIR
TRAVIS AFB, CA 945351809 US
Offices / Locations
AddressCity / StatePhone / Fax
2315 Stockton Blvd Sacramento, CA 958172201 9167345010 / 9167347950
Contact Endpoints
Carequality [C-CDA]https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceqHealth Information Exchange (HIE)
HPT Codes
CodePractice
License No
State
171000000X
Other Service Providers
Military Health Care Provider
Military Health Care Provider

Military Health Care Provider
Other Service Providers
390200000X
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
207P00000X PRIMARY
Emergency Medicine

Allopathic & Osteopathic Physicians
Emergency Medicine
All Other Specialties & Provider Types

Emergency Medicine
Allopathic & Osteopathic Physicians
178163
CA
OPI Codes
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