Individual
KEVIN RYAN BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36100 EUCLID AVE STE 330A, WILLOUGHBY, OH 44094-4477
(440) 269-8020
Mailing address
12005 STAFFORD RD, CHAGRIN FALLS, OH 44023-9365
(440) 376-9598
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0027590
OH
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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