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Organization
DR KALA R HATCH PA
Active
Organization
DR KALA R HATCH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALA R HATCH DC (OWNER)
(870) 508-4111
Entity
Organization
Contact information
Practice address
230 HWY 5 NORTH, SUITE #10, MOUNTAIN HOME, AR 72653
(870) 508-4111
(870) 424-3761
Mailing address
PO BOX 1934, MOUNTAIN HOME, AR 72654-1934
(870) 508-4111
(870) 424-3761
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1524
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139112718
—
AR
01
—
350046599
RAILROAD MEDICARE
AR
01
—
5U393
BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/19/2009
Last updated
11/19/2009
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