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Individual

KATHLEEN ANN BALLENTINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
333 BORTHWICK AVE, SUITE 301, KNEES, HOPS, SHOULDERS, PORTSMOUTH, NH 03801
(603) 431-5858
(603) 332-2165
Mailing address
PO BOX 1182, 141 TEN ROD RD, ROCHESTER, NH 03866-1182
(603) 332-4828
(603) 332-2165

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0543P
NH

Other

Enumeration date
10/03/2006
Last updated
09/27/2010
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