Chaliss Kirkendoll, is a
Rehabilitation Practitioner based in Vallejo, California. Chaliss Kirkendoll is licensed to practice in * (Not Available) (license number ) and her current practice location is
160 Glen Cove Marina Rd E Ste 102, Vallejo, California. She can be reached at her office (for appointments etc.) via phone at
(707) 648-2000.
NPI number for Chaliss Kirkendoll is 1144939802 and her current mailing address is 160 Glen Cove Marina Rd E Ste 102, Vallejo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144939802.
Healthcare Provider's Profile
| Full Name | Chaliss Kirkendoll |
|---|
| Gender | Female |
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| Speciality | Rehabilitation Practitioner |
|---|
| Location | 160 Glen Cove Marina Rd E Ste 102, Vallejo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144939802
- Provider Enumeration Date: 11/21/2022
- Last Update Date: 08/27/2025
Medical Identifiers
Medical identifiers for Chaliss Kirkendoll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144939802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chaliss Kirkendoll is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chaliss Kirkendoll,
160 Glen Cove Marina Rd E Ste 102,
Vallejo, CA 94591-7290
Ph: (707) 648-2000 | Chaliss Kirkendoll,
160 Glen Cove Marina Rd E Ste 102,
Vallejo, CA 94591-7290
Ph: (707) 648-2000 |
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