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Individual

MRS. CALLIE S BALLENGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
1525 E 23RD ST S, INDEPENDENCE, MO 64055-1670
(816) 404-9800
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7600

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
TMP140303
KS
363LF0000X
Family Nurse Practitioner
Primary
2009035922
MO

Other

Enumeration date
11/25/2009
Last updated
10/29/2020
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