Individual
MARQUITA HANNA BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 HELMWOOD PLAZA DRIVE, ELIZABETHTOWN, KY 42701
(270) 737-4808
(270) 737-4939
Mailing address
111 HELMWOOD PLAZA DRIVE, ELIZABETHTOWN, KY 42701
(270) 737-4808
(270) 737-4939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
KY29479
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051746
BLUE CROSS
KY
01
—
1048728
PASSPORT
KY
05
—
64294796
—
KY
Enumeration date
05/03/2006
Last updated
04/08/2019
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