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MBALLU P KALLON RN
NPI 1962787291
Licensed Practical Nurse in Bronx, NY

Active since October 18, 2011
1322 CLAY AVE, BRONX, NY 10456(646) 915-4666 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mballu P Kallon Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MBALLU P KALLON RN (NPI 1962787291) is an individual licensed practical nurse in Bronx, New York, licensed in New York (2947931) and active in the NPI registry since October 2011. She maintains a secondary practice location in West Brentwood.

NPPES Registry Identity

NPI1962787291
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMBALLU P KALLONCredential: RN
Location Address1322 CLAY AVEBronx, NY 10456-1766
Mailing Address1900 Grand Concourse Apt 1fBronx, NY 10457-5214 · (347) 399-0742
Phone(646) 915-4666
Sole ProprietorYes
Enumeration DateOctober 18, 2011
Last NPPES UpdateOctober 16, 2020
NPPES CertifiedOctober 16, 2020
✔ NPI 1962787291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 2947931
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedRegistered NurseTaxonomy 163W00000X · License 758198 (NY)
1322 CLAY AVE, Bronx, NY 10456
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Secondary Practice Location 1

Location 1998 Crooked Hill RdWest Brentwood, NY 11717-1019 · Phone (631) 761-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mballu Kallon's NPI number?

The NPI number for Mballu Kallon is 1962787291. It was assigned to this individual provider in the NPPES registry on October 18, 2011.

Where is Mballu Kallon located?

Mballu Kallon practices at 1322 Clay Ave, Bronx, NY 10456. The listed phone number is (646) 915-4666.

What is Mballu Kallon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mballu Kallon was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.