Kaltenbach, Jeremy M

Kaltenbach, Jeremy M is an individual health care provider with primary practice located at 613 23Rd St Ste G30 , Ashland KY 41101-2881. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Kaltenbach, Jeremy M can be contacted via phone (606) 327-0036.

Contact Information

Primary practice address
613 23Rd St Ste G30 Ashland KY 41101-2881
Phone: (606) 327-0036
Fax: (606) 327-0036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 943 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 00943 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50.001490 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1816 Kentucky

Profile Details

NPI number 1780641415
LBN Legal business name Kaltenbach, Jeremy M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 19th, 2018 - 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 1780641415 NPPES
Kentucky MEDICAID 7100191670

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