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Individual
BENJAMIN SCOTT KALLENBERGER
Active
Individual
BENJAMIN SCOTT KALLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6682
OK
207L00000X
Anesthesiology Physician
9408339
KS
Other
Enumeration date
06/20/2014
Last updated
02/04/2021
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