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

Keenan Kaltenbacher

Individual provider Physician Assistant · NPI 1336029289

Keenan Kaltenbacher is a Physician Assistant in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone: (336) 274-6682
Fax: (336) 274-8097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0010-15822 (NC)
Physician Assistant Taxonomy 363A00000X (NC)

Record details

NPI number1336029289
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 3, 2025
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

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