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1134123474
KENNETH BALLAN
BURBANK, CA
NPI
1134123474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: CA G29221)
Enumeration Date
2005-06-01
Last Update Date
2011-04-14
Business Address
Dr. KENNETH BALLAN M.D.
191 S BUENA VISTA ST STE. 215
BURBANK, CA 91505-4554
Phone number: 818-295-6944
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Mailing Address
Dr. KENNETH BALLAN M.D.
777 FLOWER ST STE A
GLENDALE, CA 91201-3000
Phone number: 818-637-2000
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