MEDICARE: RACHEL ANN KALB APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A006009	AR

General Provider Information

NPI Number	:	1366912123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ANN KALB APRN

Provider Business Mailing Address
First Line	:	110 LOVELESS DR
Second Line	:
City	:	HELENA
State	:	AR
Zip	:	72342-8987
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	626 POPLAR ST
Second Line	:
City	:	HELENA
State	:	AR
Zip	:	72342-3140
Country	:	US
Telephone Number	:	870-338-8163
Fax Number	:	870-338-7810

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2018
Last Update Date	:	03/04/2026

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