Ballou, Kenneth A.
Ballou, Kenneth A. is an individual health care provider with primary practice located at 2 W Fern Ave , Redlands CA 92373-5916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ballou, Kenneth A. can be contacted via phone (909) 793-3311.Contact Information
Primary practice address
2 W Fern Ave
Redlands CA 92373-5916
Phone: (909) 793-3311
Fax: (909) 796-4158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G85841 | California |
Profile Details
| NPI number | 1831145374 |
|---|---|
| LBN Legal business name | Ballou, Kenneth A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Aug 7th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831145374 | NPPES |
| California | MEDICAID | OOG858410 |
Popular Providers
-
Tang, Pei-Yuen
2 W Fern Ave , Redlands CA 92373-5916 -
Hoenshell, Wesley L.
1600 E Citrus Ave Ste. A, Redlands CA 92374-4270 -
Mysore, Veena
25828 Redlands Blvd Ste 102 , Redlands CA 92373-8451 -
Brice, Julee Ann
25828 Redlands Blvd Suite 102, 103, Redlands CA 92373-8449 -
Neufeld, Timothy E
2 W Fern Ave , Redlands CA 92373-5916 -
Ounanian, Leroy L
2 W Fern Ave , Redlands CA 92373-5916 -
Carter, Katrina
1600 E Citrus Ave , Redlands CA 92374-4270 -
Garcia De Benitez, Maria Socorro
1815 W Redlands Blvd , Redlands CA 92373-8054