Individual provider · Type 1 NPI
Kathleen Ann Ballentine, PA-C
Medical Physician Assistant · Portsmouth, NH
NPI number
1164517504
Active
Practice location
333 Borthwick Ave, Suite 301, Knees, Hops, Shoulders
Portsmouth, NH 03801
Fax (603) 332-2165
Mailing address
PO Box 1182, 141 Ten Rod Rd
Rochester, NH 03866-1182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0543P (NH) |
Medical Physician Assistant: Definition to come...
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About NPI 1164517504
Kathleen Ann Ballentine, PA-C's National Provider Identifier is 1164517504, issued on Oct 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portsmouth, NH. The record was last updated on Sep 27, 2010.