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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376549899 | NPPES |
Ohio | Other | 000000023799 | ANTHEM PIN |
Ohio | Other | 430003430 | ANTHEM PIN |
Ohio | MEDICAID | 0770438 | ANTHEM PIN |
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