Kelly Ballou
DESTINATION DERMATOLOGY LLC


Address: 60 Main St H, Renew Dermatology, Frisco, CO 80443
Phone: 3092871909

Kelly Ballou (NPI# 1366467805, PAC ID# 5496658528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1366467805
PAC ID by PECOS 5496658528
Professional Enrollment ID I20160119001431
Full Name Kelly Ballou
Organization Legal Name DESTINATION DERMATOLOGY LLC
Address 60 Main St H
Renew Dermatology
Frisco
CO 80443
Phone Number 3092871909
Gender F
Credential PA
Graduation Year 2003
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 5991076374
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
60 Main St H, Renew Dermatology, Frisco, CO 80443 3092871909 DESTINATION DERMATOLOGY LLC

Organization Information

Organization Legal Name DESTINATION DERMATOLOGY LLC
Physicians 1

Office Location

Street Address 60 MAIN ST H
RENEW DERMATOLOGY
City FRISCO
State CO
Zip 80443

Physicians in the same zip code

Name Specialty Organization Address
Paul H Cook Jr. Optometry 620 Main St B, Frisco, CO 80443
Jonathan Adam Sherman Cardiovascular Disease (cardiology) Vvmc Diversified Services 323 W Main St, Suite 101, Frisco, CO 80443
Sally K Agnoletto Certified Registered Nurse Anesthetist (crna) 842 Summit Blvd, Suite 15, Frisco, CO 80443
Jennifer V Gotantas Physical Therapy Axis Sports Medicine LLC 710 N Summit Blvd, Suite 103, Frisco, CO 80443
Amy L. Robillard Nurse Practitioner Summit Community Care Clinic, Inc. 360 Peak One Dr, Suite 100, Frisco, CO 80443
Chad Alan Ford Physician Assistant Vail Summit Orthopaedics 360 Peak One Dr, Suite 180, Frisco, CO 80443
Annie Bowen Physician Assistant Vail Summit Orthopaedics 360 Peak One Dr, Suite 180, Frisco, CO 80443
Scott E Raub Physical Medicine and Rehabilitation Vail Summit Orthopaedics 360 Peak One Dr, Suite 180, Frisco, CO 80443
Eleanor Lacy Bruin Clinical Social Worker Catholic Health Initiatives Colorado 360 Peak One Dr, 300 Centura Health Physician Group High Country Health, Frisco, CO 80443
Colleen D. Ihnken Nurse Practitioner Summit Community Care Clinic, Inc. 360 Peak One Dr, Suite 100, Frisco, CO 80443
Find all physicians in zip 80443

Competitor

Search similar physicians

City FRISCO
Zip Code 80443
Specialty PHYSICIAN ASSISTANT
City + Specialty FRISCO + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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