Provider Demographics
NPI:1447254461
Name:KALINSKY, MARSHALL N (DPM)
Entity type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:N
Last Name:KALINSKY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:843-789-1620
Mailing Address - Fax:843-724-2653
Practice Address - Street 1:2270 ASHLEY CROSSING DR STE 110
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5749
Practice Address - Country:US
Practice Address - Phone:843-853-3474
Practice Address - Fax:843-853-3500
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0054213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPD0546Medicaid
SCP00809534OtherRAILROAD MEDICARE ID-RSFPN
SCT246110281Medicare ID - Type Unspecified
SCPD0546Medicaid
SCT246119223Medicare PIN