Individual
PHILIP JOHN KALLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
UNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE ST., LEXINGTON, KY 40536-0001
(859) 323-1000
Mailing address
2160 FONTAINE RD APT 345, LEXINGTON, KY 40502-1345
(859) 317-9920
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
06/16/2009
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