Ballard, Mallory Kay

Ballard, Mallory Kay is an sole proprietor health care provider with primary practice located at 9601 Baptist Health Dr Ste 860 , Little Rock AR 72205-6375. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ballard, Mallory Kay can be contacted via phone (501) 975-7455.

Contact Information

Primary practice address
9601 Baptist Health Dr Ste 860 Little Rock AR 72205-6375
Phone: (501) 975-7455
Fax: (501) 975-3631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1972177251
LBN Legal business name Ballard, Mallory Kay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2021
Last updated Jul 5th, 2022 - about 3 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 1972177251 NPPES
Arkansas MEDICAID 282706795

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