Kathleen L Ballenger, pnp
Nurse Practitioner, Pediatrics in Kansas City, MO. Individual provider (NPI-1).
NPI number1164577490
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164577490
- Entity type
- Individual (NPI-1)
- Name
- Kathleen L Ballenger
- Credential
- pnp
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 068748 | MO | Yes |
Practice location
8781 N Platte Purchase DriveKansas City, MO 64155
Phone 816-587-3200 · Fax 816-587-7644
Mailing address
8781 N Platte Purchase DriveKansas City, MO 64155
Phone 816-587-3200 · Fax 816-587-7644
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