Individual
KELLY BALLENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
23900 KATY FWY, KATY, TX 77494-1323
(281) 644-7000
Mailing address
302 COBIA DR, APT 6105, KATY, TX 77494-6964
(267) 977-1536
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q6147
TX
Other
Enumeration date
06/30/2011
Last updated
09/12/2024
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