Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daryl John Kallenbach, CNA

Individual provider Home Health Aide · NPI 1619213576

Daryl John Kallenbach, CNA is a Home Health Aide in Lake Havasu City, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2012
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Practice location Address checks out

3465 Thunderbird Ln
Lake Havasu City, AZ 86406-5556
Phone: (928) 706-5851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X · Licence CNA1000021924 (AZ)

Record details

NPI number1619213576
Entity typeIndividual (Type 1)
GenderMale
Credentials CNA
Sole proprietorYes
NPI enumeratedDecember 21, 2012
Last updated in NPPESDecember 21, 2012

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