KENNETH K BALLEW

Dr KENNETH K BALLEW is a male medical professional, specializing in Podiatry. He graduated in 1984 from Ohio College Of Podiatric Medicine.

Contact

7125 NEW SANGER AVE
SUITE 502
WACO
TX
767124054

Tel:

KENNETH K BALLEW Information

Npi 1437124633
Pac Id 1052393782
Professional Enrollment Id I20110517000379
Last Name BALLEW
First Name KENNETH
Middle Name K
Suffix
Gender M
Credential
Medical School Name OHIO COLLEGE OF PODIATRIC MEDICINE
Graduation Year 1984
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 7125 NEW SANGER AVE
Line 2 Street Address SUITE 502
Marker Of Address Line 2 Suppression
City WACO
State TX
Zip Code 767124054
Phone Number
Hospital Affiliation Ccn 1 450042
Hospital Affiliation Lbn 1 PROVIDENCE HEALTH CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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