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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEVI TAYLOR BALLSTAEDT, D.O

Active Sole Proprietor

LEVI TAYLOR BALLSTAEDT, D.O is a Student (Health Education/Training) healthcare provider located in KINGMAN, Arizona. NPI 1619326188 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · KINGMAN, AZ

Registration Details

NPI Number
1619326188
Provider Type
Individual
Gender
Male
NPI Issued
Jun 6, 2016 (10.15523199818 yrs)
Last Updated
Jun 13, 2019
License
007719 (AZ)
Sole Proprietor
Yes

Practice Information

Address
3269 N STOCKTON HILL RD
KINGMAN, AZ, 864093619
Browse AZ providers · Browse ZIP 86409
Phone
9287570649
Primary Specialty
Student (Health Education/Training)
390200000X
Additional Specialty
Emergency Medicine

Other Student (Health Education/Training) Providers in KINGMAN, AZ

Name Credential NPI
DR. MELISSA LYNNE POTTS D.O. 1487072443
LINDSAY J ESCOBEDO DO, ND, MBA 1003205659
HONG-DIEP NGUYEN DO 1093370132
SYLVIE ANNE WOODS 1174133599
REGINA T CONRAD 1649845603
ALIE RIAD JREISAT MD 1578130555
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.