KENNETH BALLOU

REGENTS OF THE UNIVERSITY OF CALIFORNIA

Dr KENNETH BALLOU is a male medical professional, specializing in Family Medicine. He graduated in 1993 from Loma Linda University School Of Medicine.

Contact

REGENTS OF THE UNIVERSITY OF CALIFORNIA

555 E TACHEVAH DR
SUITE 3W105
PALM SPRINGS
CA
922625747

Tel: 8668196298

KENNETH BALLOU Information

Npi 1831145374
Pac Id 3476617713
Professional Enrollment Id I20090130000429
Last Name BALLOU
First Name KENNETH
Middle Name
Suffix
Gender M
Credential
Medical School Name LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name REGENTS OF THE UNIVERSITY OF CALIFORNIA
Group Practice Pac Id 8527223304
Number Of Group Practice Members 45
Line 1 Street Address 555 E TACHEVAH DR
Line 2 Street Address SUITE 3W105
Marker Of Address Line 2 Suppression
City PALM SPRINGS
State CA
Zip Code 922625747
Phone Number 8668196298
Hospital Affiliation Ccn 1 050022
Hospital Affiliation Lbn 1 RIVERSIDE COMMUNITY HOSPITAL
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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