Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John R Kallies, PA

Individual provider Surgical Physician Assistant · NPI 1285630699

John R Kallies, PA is a Surgical Physician Assistant in LA Crosse, Wisconsin. Licensed in Iowa and Wisconsin. Registered with an NPI since 2005.

Licensed in
IA, WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 155 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2368 (IA)

Record details

NPI number1285630699
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESOctober 24, 2013

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