Kellenberger, David Andrew

Kellenberger, David Andrew is an individual health care provider with primary practice located at 2343 Aaron St , Port Charlotte FL 33952-5305. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Hospitalist, Dietary & Nutritional Service Providers / Dietitian, Registered. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kellenberger, David Andrew can be contacted via phone (855) 979-5700.

Contact Information

Primary practice address
2343 Aaron St Port Charlotte FL 33952-5305
Phone: (855) 979-5700
Fax: (855) 979-5701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04525 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X PA9120088 Florida
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT81736 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9120088 Florida

Profile Details

NPI number 1073632410
LBN Legal business name Kellenberger, David Andrew
Credentials PA, RD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated May 6th, 2026 - about 5 months 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 1073632410 NPPES
Texas Other 1G0179 MEDICARE
Texas MEDICAID 355695308 MEDICARE

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