Whalio Doctors

NPI 1598790560

Jeffrey V Ball, PA

Practitioner Physician Assistant Kuna, ID

Practice location

Address
757 E Wythe Creek CT, Kuna, ID 83634-5006
Phone
(208) 302-6500
Fax
(208) 302-6535
Mailing address
3340 E Goldstone Way, Meridian, ID 83642-1026

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-228 (ID)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA228 (ID)

Registry record

NPI
1598790560
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jul 2006
Record last updated
15 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.