NPI 1164517504 · live from the CMS NPI Registry
Kathleen Ann Ballentine, PA-C
Physician Assistant, Medical in Portsmouth, NH. National Provider Identifier 1164517504, active.
NPI record
| NPI | 1164517504 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 333 Borthwick Ave, Suite 301, Knees, Hops, Shoulders, Portsmouth, NH 03801 |
| Practice phone | 603-431-5858 |
| Mailing address | Po Box 1182, 141 Ten Rod Rd, Rochester, NH 03866 |
| Enumerated | October 3, 2006 |
| Last updated | September 27, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 0543P (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.