NPI 1164577490 · live from the CMS NPI Registry
Kathleen L Ballenger, pnp
Nurse Practitioner, Pediatrics in Kansas City, MO. National Provider Identifier 1164577490, active.
NPI record
| NPI | 1164577490 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 8781 N Platte Purchase Drive, Kansas City, MO 64155 |
| Practice phone | 816-587-3200 |
| Enumerated | January 25, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 068748 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.