Individual
KENNY BALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
6779 PHILHARMONIC AVE, LAS VEGAS, NV 89139-6784
(808) 398-9060
Mailing address
6779 PHILHARMONIC AVE, A, LAS VEGAS, NV 89139-6784
(808) 398-9060
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RC2328
NV
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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