Provider Demographics
NPI:1912889544
Name:KALINOSKI, STEPHANIE SUE
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:SUE
Last Name:KALINOSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6614 WESLEY DR
Mailing Address - Street 2:
Mailing Address - City:WALBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43465-9200
Mailing Address - Country:US
Mailing Address - Phone:419-345-1515
Mailing Address - Fax:419-345-1515
Practice Address - Street 1:6614 WESLEY DR
Practice Address - Street 2:
Practice Address - City:WALBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43465-9200
Practice Address - Country:US
Practice Address - Phone:419-345-1515
Practice Address - Fax:419-345-1515
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHL-317250163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant