Kelly Ballou, P.A.-C

NPI #1366467805 in Frisco, Colorado

Provider Information

NPI Number: 1366467805
Entity Type: Individual
Name: Kelly Ballou, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Jul 13, 2006
Last Updated: Mar 28, 2017

Practice Location

Address: 60 MAIN STREET
Address 2: STE F,G,H BEAVER PLAZA CONDO
City: Frisco
State: Colorado
ZIP Code: 80443
Phone: (309) 287-1909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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