KYLE KALTWASSER
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1750769949- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1501 NE MEDICAL CENTER DR, BEND, OR, 977016051
- Phone
- (541) 382-4900
Specialties & Taxonomies
Dermatology
Primary License: OR #MD224801
Dermatology
License: TX #R8921