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NPI Verification

National Provider Identifier: 1114934759

Keith E. Ballinger, PA C

Individual Provider

Credentials

PA C

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Physician Assistant

Code: 363A00000X

Urology

Code: 208800000X

Primary

Practice Address

1000 HEALTH CENTER DR STE 305

MATTOON, IL 619384644

Phone: 217-258-4186

NPI Enumeration Date

August 2, 2006

NPI Number

1114934759

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry