Provider Demographics
NPI:1902999139
Name:KALKAN, DARREN STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:STEVEN
Last Name:KALKAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 OAKMONT RD
Mailing Address - Street 2:
Mailing Address - City:STANLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28164-6741
Mailing Address - Country:US
Mailing Address - Phone:248-321-0204
Mailing Address - Fax:
Practice Address - Street 1:275 N NC 16 BUSINESS HWY STE 102
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-3001
Practice Address - Country:US
Practice Address - Phone:248-321-0204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008364111N00000X
NC5381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F35573OtherBC/BS
MI0N52550Medicare ID - Type Unspecified
MI0F35573OtherBC/BS