Search › South Carolina › 207Y00000X
Ethan Kallenberger, MD
NPI 1043103963 · on the registry since 2025
Practice
- Address
- 169 Ashley Ave # Msc333
Charleston, SC 29425 - Phone
- (843) 792-7365
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 207Y00000X
207Y00000X
- Also registered as
- 390200000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina