| Doctor Name: | KATHRYN CALKA |
| NPI Number: | 1104257104 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 26NR09597300 |
| Business Practice Address: | 2295 Garwood Rd Sicklerville, NJ - 080812221 |
| Business Phone Number: | 8567847441 |
| Business Fax Number: | 8567847338 |
| Mailing Address: | 2295 Garwood Rd, SICKLERVILLE |
| State: | NJ |
| Postal Code: | 080812221 |
| Phone Number: | 8567847441 |
| Fax Number: | 8567847338 |
| NPI Enumeration Date: | 12/02/2013 |
| NPI Last Update Date: | 12/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0807X |
| License Number: | 26NR09597300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |