Kallenbach, Daryl John

Kallenbach, Daryl John is an sole proprietor health care provider with primary practice located at 3465 Thunderbird Ln , Lake Havasu City AZ 86406-5556. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Kallenbach, Daryl John can be contacted via phone (928) 706-5851.

Contact Information

Primary practice address
3465 Thunderbird Ln Lake Havasu City AZ 86406-5556
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X CNA1000021924 Arizona

Profile Details

NPI number 1619213576
LBN Legal business name Kallenbach, Daryl John
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2012
Last updated Dec 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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