Individual provider · Type 1 NPI

Kevin Daniel Balderrama, MD

Student in an Organized Health Care Education/Training Program · Springfield, MA

NPI number 1205568482 Active

Practice location

Baystate Medical Center 759 Chestnut Street Springfield
Springfield, MA 01199-0001

Call (413) 794-0000 Map

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 1205568482

Kevin Daniel Balderrama, MD's National Provider Identifier is 1205568482, issued on Jun 27, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, MA. The record was last updated on Jun 27, 2022.