Provider Demographics
NPI:1639804263
Name:CALMKEY TELEHEALTH CONNECTION, LLC
Entity Type:Organization
Organization Name:CALMKEY TELEHEALTH CONNECTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKET
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:907-378-8702
Mailing Address - Street 1:PO BOX 82264
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99708-2264
Mailing Address - Country:US
Mailing Address - Phone:907-378-8702
Mailing Address - Fax:907-328-4006
Practice Address - Street 1:565 UNIVERSITY AVE STE 4E
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-3688
Practice Address - Country:US
Practice Address - Phone:907-378-8702
Practice Address - Fax:907-328-4006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty