Ballew, Kenneth Kyle

Ballew, Kenneth Kyle is an sole proprietor health care provider with primary practice located at 7125 New Sanger Ave Ste 502 , Waco TX 76712-4054. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Ballew, Kenneth Kyle can be contacted via phone (254) 732-2224.

Contact Information

Primary practice address
7125 New Sanger Ave Ste 502 Waco TX 76712-4054
Phone: (254) 732-2224
Fax: (254) 732-2226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0879 Texas

Profile Details

NPI number 1437124633
LBN Legal business name Ballew, Kenneth Kyle
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Mar 21st, 2019 - about 5 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 1437124633 NPPES
Texas Other 8JG027 BC/BS OF TEXAS
Texas MEDICAID 1122319 BC/BS OF TEXAS

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