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NPI Code Detail

MEDICARE: KALA REYNA

MEDICARE: KALA REYNA
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
1373H00000XDay Training/Habilitation SpecialistAK

General Provider Information

NPI Number : 1811828940
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALA REYNA
Provider Business Mailing Address
First Line : 47345 VIRGO CT
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-9427
Country : US
Telephone Number : 907-717-7758
Fax Number : 907-929-5826
Provider Business Practice Location Address
First Line : 1550 E 74TH AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-2614
Country : US
Telephone Number : 907-717-7758
Fax Number : 907-929-5826
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ KALA REYNA ” Practice Location

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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.

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