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

Miranda Kalish, PA

Individual provider Medical Physician Assistant · NPI 1588056147

Miranda Kalish, PA is a Medical Physician Assistant in Belleville, Illinois. Licensed in Arkansas and Illinois. Registered with an NPI since 2015.

Licensed in
AR, IL
In the registry since
2015
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

4600 Memorial Dr
Belleville, IL 62226-5368
Phone: (618) 235-8720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-799 (AR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085005407 (IL)

Record details

NPI number1588056147
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 19, 2015
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021
Mailing address4600 Memorial Dr, Belleville, IL 62226-5368

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