K. Kyle Ballew, D.P.M.

LBN: K. Kyle Ballew, D.P.M., P.A.
K. Kyle Ballew, D.P.M. is an health care organization with primary practice located at 7125 New Sanger Rd Ste 502 , Waco TX 76712-4054. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. K. Kyle Ballew, D.P.M., P.A. can be contacted via phone (254) 732-2224, or through Tye, Kristi via phone (254) 732-2224.

Contact Information

Primary practice address
7125 New Sanger Rd Ste 502 Waco TX 76712-4054
Phone: (254) 732-2224
Fax: (254) 732-2226
Website:
Map and Directions
Authorized official contact:
Name: Tye, Kristi
Phone: (254) 732-2224

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1093220584
LBN Legal business name K. Kyle Ballew, D.P.M., P.A.
DBA Doing business as K. Kyle Ballew, D.P.M.
Authorized official Tye, Kristi
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2017
Last updated Apr 26th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093220584 NPPES
Texas MEDICAID 3921892

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