Kallenberg, Richard

Kallenberg, Richard is an individual health care provider with primary practice located at 8040 Princeton Glendale Rd , West Chester OH 45069-5802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kallenberg, Richard can be contacted via phone (513) 246-7000.

Contact Information

Primary practice address
8040 Princeton Glendale Rd West Chester OH 45069-5802
Phone: (513) 246-7000
Fax: (513) 246-5479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35051241 Ohio

Profile Details

NPI number 1336189349
LBN Legal business name Kallenberg, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 29th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336189349 NPPES
Ohio MEDICAID 2043863

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