Ball, Kelly Lynne

Ball, Kelly Lynne is an individual health care provider with primary practice located at 3023 N Ballas Rd Div Obgyn Gynecologic Oncology, Ste 450D, Saint Louis MO 63131-2330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Ball, Kelly Lynne can be contacted via phone (314) 362-3181.

Contact Information

Primary practice address
3023 N Ballas Rd Div Obgyn Gynecologic Oncology, Ste 450D Saint Louis MO 63131-2330
Phone: (314) 362-3181
Fax: (314) 362-2893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 2012036148 Missouri

Profile Details

NPI number 1619221819
LBN Legal business name Ball, Kelly Lynne
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2012
Last updated Apr 15th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619221819 NPPES
Missouri MEDICAID 420042260

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