Individual
DAVID A KALLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3433 NW 56TH ST STE 210B, OKLAHOMA CITY, OK 73112-4445
(405) 945-4701
(405) 945-4728
Mailing address
3433 NW 56TH ST STE 210B, OKLAHOMA CITY, OK 73112-4445
(405) 945-4701
(405) 945-4728
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10881
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235398397
GROUP NPI
OK
Enumeration date
05/18/2006
Last updated
01/31/2017
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