Kallenbach, Keith

Kallenbach, Keith is an individual health care provider with primary practice located at 1 Akron General Ave , Akron OH 44307-2432. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kallenbach, Keith can be contacted via phone (330) 344-6000.

Contact Information

Primary practice address
1 Akron General Ave Akron OH 44307-2432
Phone: (330) 344-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 21-195978 Ohio

Profile Details

NPI number 1376549899
LBN Legal business name Kallenbach, Keith
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 17th, 2017 - about 7 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 1376549899 NPPES
Ohio Other 000000023799 ANTHEM PIN
Ohio Other 430003430 ANTHEM PIN
Ohio MEDICAID 0770438 ANTHEM PIN

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