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Individual
MRS. JUDITH ANN KALTENBACH
Active
Individual
MRS. JUDITH ANN KALTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PA3205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 3205
LICENSE PHYSICIAN ASSISTA
FL
Enumeration date
01/04/2007
Last updated
05/16/2022
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