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Kenny Ballan, CRT

NPI 1093138778 · on the registry since 2014

Practice

Address
6779 Philharmonic Ave
Las Vegas, NV 89139
Phone
(808) 398-9060

Registry record

Primary taxonomy
227800000X
227800000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada