Organization
KONRAD C KALTENBORN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA BULLARD (SYSTEMS MANAGER)
(907) 751-8116
Entity
Organization
Contact information
Practice address
4100 LAKE OTIS PKWY, STE 305, ANCHORAGE, AK 99508-5229
(907) 751-8116
Mailing address
PO BOX 241889, ANCHORAGE, AK 99524-1889
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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