Individual
KELLY BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
60 MAIN STREET, STE F,G,H BEAVER PLAZA CONDO, FRISCO, CO 80443
(309) 287-1909
Mailing address
265 DILLON RIDGE RD, SUITE C402, DILLON, CO 80435-6009
(309) 287-1909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0004388
CO
Other
Enumeration date
07/13/2006
Last updated
03/28/2017
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