Individual
MRS. KRISTINE KAY BALLWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 39TH AVE, AMANA, IA 52203
(319) 622-3231
(319) 622-3077
Mailing address
PO BOX 207, 505 39TH AVE, AMANA, IA 52203
(319) 622-3231
(319) 622-3077
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/01/2016
Last updated
12/21/2016
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