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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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