Individual
KAITLYN MARIE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2808 OLD POST RD, HARRISBURG, PA 17110-3685
(717) 920-4400
Mailing address
2808 OLD POST RD, HARRISBURG, PA 17110-3685
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061912
PA
363A00000X
Physician Assistant
OA004192
PA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103333882
—
PA
Enumeration date
06/21/2017
Last updated
07/14/2023
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