Provider Demographics
NPI:1891524021
Name:WILL, KALAUNA
Entity type:Individual
Prefix:
First Name:KALAUNA
Middle Name:
Last Name:WILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 LOURDES LN
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:OH
Mailing Address - Zip Code:44405-1852
Mailing Address - Country:US
Mailing Address - Phone:330-716-2695
Mailing Address - Fax:
Practice Address - Street 1:336 LOURDES LN
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:OH
Practice Address - Zip Code:44405-1852
Practice Address - Country:US
Practice Address - Phone:330-716-2695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-27
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health