Ballard, Thomas Kelly

Ballard, Thomas Kelly is an individual health care provider with primary practice located at 7601 Southcrest Pkwy , Southaven MS 38671-4739. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Ballard, Thomas Kelly can be contacted via phone (662) 772-4696.

Contact Information

Primary practice address
7601 Southcrest Pkwy Southaven MS 38671-4739
Phone: (662) 772-4696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1245975226
LBN Legal business name Ballard, Thomas Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2022
Last updated May 11th, 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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