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

Mr. Robert Kalonick, APRN-CNP

Individual provider Gerontology Nurse Practitioner · NPI 1780220707

Mr. Robert Kalonick, APRN-CNP is a Gerontology Nurse Practitioner in Fort Wayne, Indiana. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
Specialties on file
5

Practice location Address checks out

7910 W Jefferson Blvd Ste 102
Fort Wayne, IN 46804-4159
Phone: (260) 458-3555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9200 N Central Ave Ste 2, Phoenix, AZ 85020-2463 — (602) 943-9494

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 226732 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 226732 (AZ)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 226732 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 226732 (AZ)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence 226732 (AZ)

Record details

NPI number1780220707
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedNovember 25, 2019
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

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