Individual
KELLY S BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13029 BOLEN RD NE, NEWARK, OH 43055-9472
(740) 705-3164
Mailing address
13029 BOLEN RD NE, NEWARK, OH 43055-9472
(740) 705-3164
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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