KENNETH BALLENTINE

Dr KENNETH BALLENTINE is a male medical professional, specializing in Optometry. He graduated in 1980 from Berkeley Northeastern State University - College Of Medicine.

Contact

5275 PROSPECT RD
SAN JOSE
CA
951295031

Tel:

KENNETH BALLENTINE Information

Npi 1548230071
Pac Id 7416130026
Professional Enrollment Id I20120130000723
Last Name BALLENTINE
First Name KENNETH
Middle Name
Suffix
Gender M
Credential
Medical School Name BERKELEY NORTHEASTERN STATE UNIVERSITY - COLLEGE OF MEDICINE
Graduation Year 1980
Primary Specialty OPTOMETRY
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 5275 PROSPECT RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAN JOSE
State CA
Zip Code 951295031
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
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

Do you know KENNETH BALLENTINE?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.