| Specialty | Taxonomy Code | |
|---|---|---|
| * | Administrator | 163WA2000X |
* Indicates primary specialty
| NPI Number | 1225556491 |
| Credentials | |
| Entity | Individual |
| Enumeration date | 09/07/2017 |
| Last updated | 11/11/2025 - About 7 months ago |
| Sole proprietor1 | Yes |
| Identifiers |
|
| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
There are currently no reviews for KEVINE D MBALALE