Individual
KELLY JONES BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
3615 BRASELTON HWY, SUITE 103, DACULA, GA 30019-5907
(678) 377-9634
(678) 377-9609
Mailing address
3615 BRASELTON HWY, SUITE 103, DACULA, GA 30019-5907
(678) 377-9634
(678) 377-9609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
33
AK
235Z00000X
Speech-Language Pathologist
4664
NC
235Z00000X
Speech-Language Pathologist
Primary
SLP004955
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10033353
—
GA
05
—
306024
—
GA
01
—
52006531-001
BLUE CROSS & BLUE SHIELD
GA
01
—
7411355
AETNA
GA
Enumeration date
08/19/2005
Last updated
04/07/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us