Kaldenbach, Kelly Jean

Kaldenbach, Kelly Jean is an individual health care provider with primary practice located at 891 Eureka St , Weatherford TX 76086-5807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kaldenbach, Kelly Jean can be contacted via phone (817) 341-7600.

Contact Information

Primary practice address
891 Eureka St Weatherford TX 76086-5807
Phone: (817) 341-7600
Fax: (817) 341-7351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1679687206
LBN Legal business name Kaldenbach, Kelly Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jan 14th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679687206 NPPES
Texas MEDICAID 200945803

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