Individual
NATHANIEL KYLE BALLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10550 QUIVIRA RD STE 530, OVERLAND PARK, KS 66215-2307
(913) 276-5130
(913) 439-4836
Mailing address
8551 BLUEJACKET ST, LENEXA, KS 66214-1656
(913) 981-1215
(913) 439-4823
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-36531
KS
208800000X
Urology Physician
MD192199
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49160026
BCBS
KS
Enumeration date
07/12/2007
Last updated
06/29/2021
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