Healthcare Provider Details

I. General information

NPI: 1427824952
Provider Name (Legal Business Name): SANDRA KALA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 METRO PL N STE 100
DUBLIN OH
43017-5343
US

IV. Provider business mailing address

525 METRO PL N STE 100
DUBLIN OH
43017-5343
US

V. Phone/Fax

Practice location:
  • Phone: 855-289-1722
  • Fax:
Mailing address:
  • Phone: 855-289-1722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0038819
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.444233
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: