Provider Demographics
NPI:1285860551
Name:KALLBERG, SARAH B (DO)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:B
Last Name:KALLBERG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:B
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1165 N BUTTERFIELD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BOLIVAR
Mailing Address - State:MO
Mailing Address - Zip Code:65613-1056
Mailing Address - Country:US
Mailing Address - Phone:417-777-8131
Mailing Address - Fax:417-777-8892
Practice Address - Street 1:1165 N BUTTERFIELD
Practice Address - Street 2:SUITE B
Practice Address - City:BOLIVAR
Practice Address - State:MO
Practice Address - Zip Code:65613-1165
Practice Address - Country:US
Practice Address - Phone:417-777-8131
Practice Address - Fax:417-777-8892
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology