DR. Ethan Michael Kallenberger, MD

NPI #1043103963 in Charleston, South Carolina

Provider Information

NPI Number: 1043103963
Entity Type: Individual
Name: DR. Ethan Michael Kallenberger, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: May 30, 2025
Last Updated: Jun 30, 2025

Practice Location

Address: 169 ASHLEY AVE # MSC333
City: Charleston
State: South Carolina
ZIP Code: 29425-8905
Phone: (843) 792-7365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Otolaryngology	207Y00000X	Primary

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