Ball, Kenneth C

Ball, Kenneth C is an individual health care provider with primary practice located at 2500 North State Street Dept Of Medicine Division Of General Internal Medicine, Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ball, Kenneth C can be contacted via phone (601) 984-5660.

Contact Information

Primary practice address
2500 North State Street Dept Of Medicine Division Of General Internal Medicine Jackson MS 39216-4500
Phone: (601) 984-5660
Fax: (601) 984-6870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18088 Mississippi
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 18088 Mississippi

Profile Details

NPI number 1770593014
LBN Legal business name Ball, Kenneth C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Apr 9th, 2014 - about 12 years ago

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 1770593014 NPPES
Mississippi MEDICAID 06807331
Mississippi Other P01105179

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