Individual
BENJAMIN SCOTT KALLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2665
Mailing address
3130 E 26TH PL, TULSA, OK 74114-4314
(918) 906-9110
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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