Provider Demographics
NPI:1134326432
Name:KALEMA, DOREEN
Entity type:Individual
Prefix:MS
First Name:DOREEN
Middle Name:
Last Name:KALEMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8925 ZANZIBAR LN N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-1249
Mailing Address - Country:US
Mailing Address - Phone:763-670-3715
Mailing Address - Fax:763-494-3715
Practice Address - Street 1:8925 ZANZIBAR LN N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-1249
Practice Address - Country:US
Practice Address - Phone:763-670-3715
Practice Address - Fax:763-494-3715
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant