Ballard, Marty Kyle

Ballard, Marty Kyle is an individual health care provider with primary practice located at 327 N Jackson St , Brookhaven MS 39601-3041. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ballard, Marty Kyle can be contacted via phone (601) 833-3800.

Contact Information

Primary practice address
327 N Jackson St Brookhaven MS 39601-3041
Phone: (601) 833-3800
Fax: (601) 833-3847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 904046 Mississippi

Profile Details

NPI number 1023622081
LBN Legal business name Ballard, Marty Kyle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2020
Last updated May 12th, 2021 - about 4 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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