Individual
KELSEY KALTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 MATCH FACTORY PL, BELLEFONTE, PA 16823-1367
(814) 353-3151
Mailing address
190 MATCH FACTORY PL, BELLEFONTE, PA 16823-1367
(814) 353-3151
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003622078
—
PA
Enumeration date
09/01/2017
Last updated
09/27/2017
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