| Laurie K. Ballew | |
|
657 Lone Oak Rd Ste 2 Paducah KY 42003-4547 | |
| (270) 558-4174 | |
| (270) 534-5753 |
| Full Name | Laurie K. Ballew |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 657 Lone Oak Rd Ste 2, Paducah, Kentucky |
| Authorized Official Name and Position | Laurie K. Ballew (OWNER) |
| Authorized Official Contact | 2705584174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie K. Ballew 657 Lone Oak Rd Ste 2 Paducah KY 42003-4547 Ph: (270) 558-4174 | Laurie K. Ballew 657 Lone Oak Rd Ste 2 Paducah KY 42003-4547 Ph: (270) 558-4174 |
| NPI Number | 1023591617 |
|---|---|
| Provider Enumeration Date | 09/11/2018 |
| Last Update Date | 03/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023591617 | NPI | - | NPPES |
| 2436 | Other | KY | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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