Kaltenborn, Konrad C

Kaltenborn, Konrad C is an sole proprietor health care provider with primary practice located at 3260 Providence Dr #523, Anchorage AK 99508-4608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Kaltenborn, Konrad C can be contacted via phone (907) 222-1714.

Contact Information

Primary practice address
3260 Providence Dr #523 Anchorage AK 99508-4608
Phone: (907) 222-1714
Fax: (907) 222-1724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 3556 Alaska

Profile Details

NPI number 1972589299
LBN Legal business name Kaltenborn, Konrad C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated Jan 29th, 2016 - 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 1972589299 NPPES
Alaska Other 0193230 WA DEPT L&I
Alaska MEDICAID MD10041 WA DEPT L&I
Alaska MEDICAID MD10044 WA DEPT L&I

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