Kallyn Dorothy Harencak, MD is a
Internal Medicine physician based in Edwards Afb, California. Kallyn Dorothy Harencak is licensed to practice in Indiana (license number 01073149A) and her current practice location is 55 N Wolfe Ave, Edwards Afb, California. She can be reached at her office (for appointments etc.) via phone at
(661) 277-2814.
NPI number for Kallyn Dorothy Harencak is 1417223843 and her current mailing address is 55 N Wolfe Ave, Edwards Afb, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417223843.
Physician's Profile
| Full Name | Kallyn Dorothy Harencak |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 55 N Wolfe Ave, Edwards Afb, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417223843
- Provider Enumeration Date: 03/29/2012
- Last Update Date: 01/23/2026
Medical Identifiers
Medical identifiers for Kallyn Dorothy Harencak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417223843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 01073149A (Indiana) | 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. Kallyn Dorothy Harencak 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 |
Kallyn Dorothy Harencak, MD 55 N Wolfe Ave, Edwards Afb, CA 93524-6201 Ph: (661) 277-2814 | Kallyn Dorothy Harencak, MD 55 N Wolfe Ave, Edwards Afb, CA 93524-6201 Ph: (661) 277-2814 |
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