MEDICARE: KALEY MD MHS INC

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1578064812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KALEY MD MHS INC

Provider Business Mailing Address
First Line	:	6 ROBSON WAY
Second Line	:
City	:	BENTONVILLE
State	:	AR
Zip	:	72712-4106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4253 N CROSSOVER RD
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-4593
Country	:	US
Telephone Number	:	479-551-9840
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	SEAN KALEY
Credential	:
Telephone Number	:	501-213-5625

Provider Enumeration Date	:	02/22/2018
Last Update Date	:	04/13/2026

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