Dr KINCHEN W BALLENTINE is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1967 from University Of Tennessee College Of Medicine.
DHHS PHS NAIHS SHIPROCK HOSPITAL
6 RD
SUITE 7586
BLOOMFIELD
NM
874134934
Tel: 5053688015
| Npi | 1710046644 |
| Pac Id | 5890701445 |
| Professional Enrollment Id | I20120718000642 |
| Last Name | BALLENTINE |
| First Name | KINCHEN |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | DHHS PHS NAIHS SHIPROCK HOSPITAL |
| Group Practice Pac Id | 0749193837 |
| Number Of Group Practice Members | 164 |
| Line 1 Street Address | 6 RD |
| Line 2 Street Address | SUITE 7586 |
| Marker Of Address Line 2 Suppression | |
| City | BLOOMFIELD |
| State | NM |
| Zip Code | 874134934 |
| Phone Number | 5053688015 |
| Hospital Affiliation Ccn 1 | 320059 |
| Hospital Affiliation Lbn 1 | NORTHERN NAVAJO MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 320005 |
| Hospital Affiliation Lbn 2 | SAN JUAN REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 060013 |
| Hospital Affiliation Lbn 3 | MERCY REGIONAL MEDICAL CENTER |
| 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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