Individual
MR. KURTAVIOUS V BALL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.M.C, PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8024
Mailing address
42 HEATHER CT, NEWTOWN, PA 18940-1542
(267) 966-7604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060502
PA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/23/2018
Last updated
10/02/2023
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