Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35.094211 | OH |
N | 2080A0000X | Adolescent Medicine | 35.094211 | OH |
NPI | 1306056015 |
---|---|
Provider Name | Kristin L Kaltenstadler |
First Address | Mason, OH 45040-6791 |
Second Address | Mason, OH 45040-6791 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 27/01/2021 |