Provider Demographics
NPI:1831221985
Name:BALUHA, KATHLEEN FLANAGAN (FNP)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:FLANAGAN
Last Name:BALUHA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:F
Other - Last Name:BALUHA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:39 AMBERJACK DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-7222
Mailing Address - Country:US
Mailing Address - Phone:828-692-7304
Mailing Address - Fax:
Practice Address - Street 1:39 AMBERJACK DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-7222
Practice Address - Country:US
Practice Address - Phone:828-692-7304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201186363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner