Individual
KIMBERLY BALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 E CENTENNIAL DR, PITTSBURG, KS 66762-6505
(620) 232-1005
(620) 231-5821
Mailing address
849 E 650TH AVE, ARMA, KS 66712-9538
(620) 875-6748
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
190554
KS
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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