MEDICARE: DR. KIM ALLYSON KALAS ED.D.

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	103T00000X	Psychologist	#3409	AS

General Provider Information

NPI Number	:	1437144623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIM ALLYSON KALAS ED.D.

Provider Business Mailing Address
First Line	:	914 N SAN FRANCISCO ST
Second Line	:	STE. P
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-3254
Country	:	US
Telephone Number	:	928-774-6414
Fax Number	:	928-527-8596

Provider Business Practice Location Address
First Line	:	914 N SAN FRANCISCO ST
Second Line	:	STE. P
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-3254
Country	:	US
Telephone Number	:	928-774-6414
Fax Number	:	928-527-8596

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1861357931 — RYAN KRUSE LAC
Practice Location Address:

914 N SAN FRANCISCO ST
FLAGSTAFF, AZ
86001-3254

Practice Phone: 623-695-7980
Practice Fax:

1124318159 — LYNN COOPER JOHNSON FNP
Practice Location Address:

914 N SAN FRANCISCO ST STE D
FLAGSTAFF, AZ
86001-3254

Practice Phone: 928-243-0244
Practice Fax: 928-597-5198

1700215191 — MS. KERRY CHAPLEY NP
Practice Location Address:

914 N SAN FRANCISCO ST STE D
FLAGSTAFF, AZ
86001-3254

Practice Phone: 928-985-1498
Practice Fax: 928-597-5198

1548756794 — DUSTIN RICHARD HUSEMANN ACNP-BC, PMHNP-BC
Practice Location Address:

914 N SAN FRANCISCO ST STE D
FLAGSTAFF, AZ
86001-3254

Practice Phone: 928-985-1495
Practice Fax: 928-597-5198

1396227609 — PHOENIX MENTAL HEALTH AND WELLNESS PLLC
Practice Location Address:

914 N SAN FRANCISCO ST STE D
FLAGSTAFF, AZ
86001-3254

Practice Phone: 928-985-1495
Practice Fax: 985-597-5198

1932979366 — OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Practice Location Address:

914 N SAN FRANCISCO ST
FLAGSTAFF, AZ
86001-3254

Practice Phone: 704-506-6267
Practice Fax:

Directions to “ DR. KIM ALLYSON KALAS ED.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.