MR. Keith E. Ballinger, PA C

NPI #1114934759 in Mattoon, Illinois

Provider Information

NPI Number: 1114934759
Entity Type: Individual
Name: MR. Keith E. Ballinger, PA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: PA C
Enumeration Date: Aug 2, 2006
Last Updated: Oct 22, 2024

Practice Location

Address: 1000 HEALTH CENTER DR STE 305
City: Mattoon
State: Illinois
ZIP Code: 61938-4644
Phone: (217) 258-4186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Urology	208800000X	Primary

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