Levi Taylor Ballstaedt, D.O is a student in an organized health care education training program in Kingman, AZ with 8 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Levi Taylor Ballstaedt, D.O NPI is 1619326188. 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:
3269 N STOCKTON HILL RD
KINGMAN, AZ
ZIP 86409-619
Phone: (928) 757-0649
The NPI 1619326188 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/6/2016 and was last updated on 6/13/2019.