Provider Demographics
NPI:1245244581
Name:KALVELS, SHARON (MS,RD,CHE)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:KALVELS
Suffix:
Gender:F
Credentials:MS,RD,CHE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8495 CRATER LAKE HWY
Mailing Address - Street 2:VA SOUTHERN OR REHAB. CTR. & CLINICS
Mailing Address - City:WHITE CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97503-3011
Mailing Address - Country:US
Mailing Address - Phone:541-826-2111
Mailing Address - Fax:541-830-7435
Practice Address - Street 1:8495 CRATER LAKE HWY
Practice Address - Street 2:VA SOUTHERN OR REHAB. CTR. & CLINICS
Practice Address - City:WHITE CITY
Practice Address - State:OR
Practice Address - Zip Code:97503-3011
Practice Address - Country:US
Practice Address - Phone:541-826-2111
Practice Address - Fax:541-830-7435
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered