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NPI 1750769949 · live from the CMS NPI Registry

Kyle Kaltwasser

Dermatology in Bend, OR. National Provider Identifier 1750769949, active.

NPI record

NPI1750769949 Type 1 · individual
StatusActive
Primary specialtyDermatology 207N00000X
Practice location1501 Ne Medical Center Dr, Bend, OR 97701
Practice phone541-382-4900
EnumeratedMay 8, 2015
Last updatedJanuary 25, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology primary207N00000XMD224801 (OR)
Dermatology207N00000XR8921 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.