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

WENDY MICHELLE BALLENGER, DO

Active Sole Proprietor

Pediatrics · OLIVE BRANCH, MS

Registration Details

NPI Number
1710111372
Provider Type
Individual
Gender
Female
NPI Issued
May 12, 2009 (16.942313162996 yrs)
Last Updated
Feb 10, 2023
Licenses
R2208 (KY)
MS25393 (MS)
MS29353 (MS)
R2208 (KY)
Sole Proprietor
Yes

Practice Information

Address
7148 KERR STREET PLACE
SUITE 110
OLIVE BRANCH, MS, 386543865
Browse MS providers · Browse ZIP 38654
Phone
6622226724
Fax
9013505024
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Internal Medicine
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics

Other Pediatrics Providers in OLIVE BRANCH, MS

Name Credential NPI
DR. VANI KUDLUR CHANDRAPPA M.D. 1124329016
DR. MARGO GRONAUER SAHAROVICI MD 1457093312
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.