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Individual
KONRAD C KALTENBORN
Active
Individual
KONRAD C KALTENBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
3556
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0193230
WA DEPT L&I
AK
05
—
MD10041
—
AK
05
—
MD10044
—
AK
Enumeration date
12/19/2005
Last updated
01/29/2016
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