Individual provider · Type 1 NPI

Boboto Balonda

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1093623605 Active

Practice location

780 Rose St
Lexington, KY 40536-0001

Call (336) 690-2831 Map

Mailing address

275 New Towne Dr Apt 627
Bowling Green, KY 42103-8914

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093623605

Boboto Balonda's National Provider Identifier is 1093623605, issued on Sep 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Sep 1, 2026.