Kristen E Kebalka

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1103 Issued in NH

Practice address

80 Lyme Rd
Hanover, NH 03755-1225

Phone

(603) 277-9563

Fax

(603) 277-9568

NPI assigned

May 28, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1376980672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 WINTER ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037435066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LYME RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551225",
            "telephone_number": "603-277-9563",
            "fax_number": "603-277-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBALKA",
        "first_name": "KRISTEN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "1103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wangeun Jo, RPH
• Johnson Audiology LLC
• Anne M Johnson, M.D.
• Rachel Johnson, RN
• Steven D Johnson
• Samantha Keller
• Jill M Kelly-Ketay
• Elizabeth Kelsey
• Ann Kemon, RDH
• Kendal at Hanover I

• Physical Therapy Assistant in Hanover, NH
• Providers in Hanover, NH by specialty
• Physical Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.