Individual provider · Type 1 NPI

Calvin D. Kottke

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1104742758 Active

Practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Call (404) 712-2000 Map

Mailing address

1615 Druid Oaks NE
Atlanta, GA 30329-3279

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104742758

Calvin D. Kottke's National Provider Identifier is 1104742758, issued on Jun 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 27, 2026.