NPI

Kaylen Manning Ballenger

NPI 1336728823

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
FNP-C
Type
Individual
Enumeration date
2021-04-03
Last updated
2021-06-29

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Specialties

Licenses

License AZ
256185

Location

Practice location
6116 E Arbor Ave Ste 112
City
Mesa AZ
Postal code
85206-6103
Phone
(480) 641-5400

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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