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NPI Code Detail

MEDICARE: KERI LEEANN BALLENGER RNFA

MEDICARE:   KERI LEEANN BALLENGER  RNFA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WR0006XRegistered Nurse First Assistant10010038OR

General Provider Information

NPI Number : 1881537256
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERI LEEANN BALLENGER RNFA
Provider Business Mailing Address
First Line : 1046 6TH AVE SW
Second Line :
City : ALBANY
State : OR
Zip : 97321-1916
Country : US
Telephone Number : 541-812-4710
Fax Number :
Provider Business Practice Location Address
First Line : 1046 6TH AVE SW
Second Line :
City : ALBANY
State : OR
Zip : 97321-1916
Country : US
Telephone Number : 541-812-4710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ KERI LEEANN BALLENGER RNFA” Practice Location

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