# KONRAD C KALTENBORN MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306022314
- **Authorized official:** MONICA BULLARD (SYSTEMS MANAGER)
- **Authorized official phone:** (907) 751-8116

## Contact information

- **Practice address:** 4100 LAKE OTIS PKWY, STE 305, ANCHORAGE, AK 99508-5229
- **Practice address phone:** (907) 751-8116
- **Mailing address:** PO BOX 241889, ANCHORAGE, AK 99524-1889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2008
- **Last updated:** 01/21/2008