Provider Demographics
NPI:1023525144
Name:BALINT, KATHLEEN
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:BALINT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7545 N LENOX AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-4244
Mailing Address - Country:US
Mailing Address - Phone:816-835-4146
Mailing Address - Fax:
Practice Address - Street 1:6500 NW TOWER DR STE 100
Practice Address - Street 2:
Practice Address - City:PLATTE WOODS
Practice Address - State:MO
Practice Address - Zip Code:64151-4414
Practice Address - Country:US
Practice Address - Phone:800-687-5070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORBT-18-47489106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician