Individual
KAYLEN MANNING BALLENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6116 E ARBOR AVE STE 112, MESA, AZ 85206-6103
(480) 641-5400
Mailing address
6116 E ARBOR AVE STE 112, MESA, AZ 85206-6103
(480) 641-5400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
256185
AZ
Other
Enumeration date
04/03/2021
Last updated
06/29/2021
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