Individual
MADISON BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3457 VALLEYPLAZA PKWY, FT MITCHELL, KY 41017-8176
(859) 344-2760
Mailing address
515 MAIN ST APT 467, COVINGTON, KY 41011-1699
(859) 585-8710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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