Keenan Kaltenbacher, is a
Radiology - Diagnostic Radiology based in Greensboro, North Carolina. Keenan Kaltenbacher is licensed to practice in North Carolina (license number 0010-15822) and his current practice location is
1331 N Elm St Ste 200, Greensboro, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(336) 274-6682.
NPI number for Keenan Kaltenbacher is 1336029289 and his current mailing address is Po Box 85378, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336029289.
Provider's Profile
| Full Name | Keenan Kaltenbacher |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 1331 N Elm St Ste 200, Greensboro, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336029289
- Provider Enumeration Date: 09/03/2025
- Last Update Date: 02/25/2026
Medical Identifiers
Medical identifiers for Keenan Kaltenbacher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336029289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (North Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0010-15822 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keenan Kaltenbacher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Keenan Kaltenbacher, Po Box 85378, Chicago, IL 60689-5378 Ph: (336) 274-6682 | Keenan Kaltenbacher, 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 Ph: (336) 274-6682 |
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