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Contact Information

KAREN L BALLENTINE, FNP
3464 E CATALPA ST
SPRINGFIELD, MO65809-1402
 Phone: 417-827-0880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KAREN L BALLENTINE · (Female)

NPI Number 1891896098
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 09/26/2006
Last updated 01/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 083688
  • MO Medicaid 1891896098
  • MO Medicaid 427720750
  • MO Other 083688 STATE LICENSE
Hospital affiliation(s) Not Available
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.

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