Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kallyn Dorothy Harencak, MD

Individual provider Internal Medicine Physician · NPI 1417223843

Kallyn Dorothy Harencak, MD is an Internal Medicine Physician in Edwards AFB, California. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 N Wolfe Ave
Edwards AFB, CA 93524-6201
Phone: (661) 277-2814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01073149A (IN)

Record details

NPI number1417223843
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2012
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026

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