KALLYN DOROTHY HARENCAK M.D.
NPI 1417223843
Internal Medicine in Edwards Afb, CA

Active since March 29, 2012
55 N WOLFE AVE, EDWARDS AFB, CA 93524(661) 277-2814 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2026, Jun 7, 2022 (2 updates tracked since 2022).

About Kallyn Dorothy Harencak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALLYN DOROTHY HARENCAK M.D. (NPI 1417223843) is an individual internal medicine provider in Edwards Afb, California, licensed in Indiana (01073149A) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1417223843
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKALLYN DOROTHY HARENCAKCredential: M.D.
Location Address55 N WOLFE AVEEdwards Afb, CA 93524-6201
Mailing Address55 N Wolfe AveEdwards Afb, CA 93524-6201 · (661) 277-2814
Sole ProprietorNo
Enumeration DateMarch 29, 2012
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
NPI 1417223843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01073149A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
55 N WOLFE AVE, Edwards Afb, CA 93524

Other Names 1

Former Name (1)Kallyn Dorothy Johnson M.d.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
55 N WOLFE AVE
EDWARDS AFB, CA 93524
Family Medicine
55 N WOLFE AVE
EDWARDS AFB, CA 93524
Preventive Medicine (Aerospace Medicine)
55 N WOLFE AVE
EDWARDS, CA 93524
Optometrist
55 N WOLFE AVE
EDWARDS AFB, CA 93524
Nurse Practitioner (Family)
55 N WOLFE AVE
EDWARDS AFB, CA 93524
Preventive Medicine (Aerospace Medicine)
55 N WOLFE AVE
EDWARDS AFB, CA 93524
Physician Assistant (Medical)
55 N WOLFE AVE
EDWARDS, CA 93524
Military Health Care Provider (Independent Duty Medical Technicians)
55 N WOLFE AVE
EDWARDS, CA 93524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kallyn Harencak's NPI number?

The NPI number for Kallyn Harencak is 1417223843. It was assigned to this individual provider in the NPPES registry on March 29, 2012. The provider is also known as Kallyn Dorothy Johnson M.D..

Where is Kallyn Harencak located?

Kallyn Harencak practices at 55 N Wolfe Ave, Edwards Afb, CA 93524. The listed phone number is (661) 277-2814.

What is Kallyn Harencak's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kallyn Harencak was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.