Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ethan Michael Kallenberger, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043103963

Dr. Ethan Michael Kallenberger, MD is a Student in an Organized Health Care Education/Training Program in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2025.

Licensed in
SC
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Charleston, SC

No coordinates on file. Search this address in Google Maps

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence LL94805 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043103963
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

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