| Doctor Name: | DR. KINCHEN BALLENTINE |
| NPI Number: | 1710046644 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | HTL-098 |
| Business Practice Address: | 420 Thomson Cir Abbeville, SC - 29620 |
| Business Phone Number: | 8643665011 |
| Business Fax Number: | 8643663343 |
| Mailing Address: | P O Box 887, ABBEVILLE |
| State: | SC |
| Postal Code: | 29620 |
| Phone Number: | 8643665011 |
| Fax Number: | 8643663343 |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 10/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | HTL-098 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |