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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972177251 | NPPES |
| Arkansas | MEDICAID | 282706795 |
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