Individual
MS. KELLY LYNNE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3023 N BALLAS RD, DIV OBGYN GYNECOLOGIC ONCOLOGY, STE 450D, SAINT LOUIS, MO 63131-2330
(314) 362-3181
(314) 362-2893
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-3181
(314) 362-2893
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2012036148
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420042260
—
MO
Enumeration date
11/09/2012
Last updated
04/15/2025
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