DARYL JOHN KALLENBACH CNA
NPI 1619213576
Home Health Aide in Lake Havasu City, AZ

Active since December 21, 2012
3465 THUNDERBIRD LN, LAKE HAVASU CITY, AZ 86406(928) 706-5851 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Daryl John Kallenbach Cna NPPES

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

DARYL JOHN KALLENBACH CNA (NPI 1619213576) is an individual home health aide in Lake Havasu City, Arizona, licensed in Arizona (CNA1000021924) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1619213576
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameDARYL JOHN KALLENBACHCredential: CNA
Location Address3465 THUNDERBIRD LNLake Havasu City, AZ 86406-5556
Mailing Address1345 Beefeater DrLake Havasu City, AZ 86404-1953 · (928) 706-5851
Sole ProprietorYes
Enumeration DateDecember 21, 2012
NPI 1619213576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License Licensed in AZ · CNA1000021924
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
3465 THUNDERBIRD LN, Lake Havasu City, AZ 86406

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 Daryl Kallenbach's NPI number?

The NPI number for Daryl Kallenbach is 1619213576. It was assigned to this individual provider in the NPPES registry on December 21, 2012.

Where is Daryl Kallenbach located?

Daryl Kallenbach practices at 3465 Thunderbird Ln, Lake Havasu City, AZ 86406. The listed phone number is (928) 706-5851.

What is Daryl Kallenbach's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Daryl Kallenbach was last updated on December 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.