Kathleen Ann Ballentine, PA-C
Individual provider Active NPI Medical Physician Assistant · Portsmouth, NH
NPI 1164517504 · NPPES record last updated Sep 27, 2010
Key facts
- NPI
- 1164517504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 0543P (NH)
- Practice address
- 333 Borthwick Ave, Suite 301
Knees, Hops, Shoulders
Portsmouth, NH 03801 - Phone
- (603) 431-5858
- Fax
- (603) 332-2165
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0543P | NH | Yes |
Addresses
Primary practice location
333 Borthwick Ave, Suite 301
Knees, Hops, Shoulders
Portsmouth, NH 03801
Mailing address
PO Box 1182
141 Ten Rod Rd
Rochester, NH 03866-1182
Phone (603) 332-4828
Other providers in Portsmouth, NH
- Laurie Bakken
- Balanced Lifestyle Counseling, LLC
- Anastasia Kalikova Balasa
- Andrea Ballard
- David Lincoln Ballard III
- Kayla Duncan Ballentine
- Mark A Ballentyne
- Nicole Bandera
- Karen Marie Bannon Boisvert
- Cynthia P Barbarits
All providers in Portsmouth, NH · Medical Physician Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.