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Individual

KEVIN BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
5 CARE LN, SARATOGA SPRINGS, NY 12866-8623
(518) 489-2663
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012557
NY
363AS0400X
Surgical Physician Assistant
Primary
012557
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03061396
NY
Enumeration date
10/17/2008
Last updated
05/19/2026
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