Individual
MR. CHAD A KALTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
145 W 23RD ST STE 101, ERIE, PA 16502-2858
(814) 452-2767
(814) 459-2976
Mailing address
145 W 23RD ST STE 101, ERIE, PA 16502-2858
(814) 452-2767
(814) 459-2976
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP029030
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104309021
—
PA
01
—
16176838
CAQH
—
Enumeration date
01/08/2024
Last updated
07/03/2024
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