Individual
KELSEY BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
391 MYRTLE AVE STE 3A, ALBANY, NY 12208-3797
(518) 262-5588
Mailing address
4 SALLY ST, MECHANICVILLE, NY 12118-3576
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383722
NY
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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