BOBBY BALLESTEROS NPI 1265980858

NPI Information

  • NPI: 1265980858
  • Provider Name: BOBBY BALLESTEROS
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 14614 S BROUGHAM DR
    OLATHE, KS
    ZIP 66062
  • Phone: (913) 961-2306

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NPI Details

Bobby Ballesteros is a specialist in Olathe, KS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Bobby Ballesteros NPI is 1265980858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14614 S BROUGHAM DR
OLATHE, KS
ZIP 66062-595
Phone: (913) 961-2306

The enumeration date for this NPI number is 9/13/2016 and was last updated on 9/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist332B00000XYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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