Provider Demographics
NPI:1114136744
Name:KAL REHAB,LLC
Entity Type:Organization
Organization Name:KAL REHAB,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:O.T.R.L.
Authorized Official - Prefix:MR
Authorized Official - First Name:KALWANT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:620-663-8899
Mailing Address - Street 1:2504 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-2560
Mailing Address - Country:US
Mailing Address - Phone:620-663-8899
Mailing Address - Fax:620-665-6263
Practice Address - Street 1:2504 WESTMINSTER DR
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-2560
Practice Address - Country:US
Practice Address - Phone:620-663-8899
Practice Address - Fax:620-665-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS115582251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health