Individual
WILLIAM KEITH BALLENTINE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 S LIMESTONE STE B200, LEXINGTON, KY 40536-0001
(859) 257-3533
(859) 257-6024
Mailing address
740 S LIMESTONE STE B200, LEXINGTON, KY 40536-0001
(859) 257-3533
(859) 257-6024
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
219511
NC
208800000X
Urology Physician
Primary
58626
KY
208800000X
Urology Physician
TP732
KY
Other
Enumeration date
05/16/2016
Last updated
10/25/2023
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