| 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 |
| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 4486991841 |
|---|---|
| Medicare Enrollment ID | O20190123004392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023591617 | NPI | - | NPPES |
| 2436 | Other | KY | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Laurie K Ballew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639141948 PECOS PAC ID: 8224026034 Enrollment ID: I20040503000098 |
| Provider Name | Regina E Robison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316269871 PECOS PAC ID: 4880726231 Enrollment ID: I20101216000615 |
| Provider Name | Christy L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518980762 PECOS PAC ID: 6507863198 Enrollment ID: I20141124001989 |
| Provider Name | Janet Ambler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497705073 PECOS PAC ID: 1759338098 Enrollment ID: I20150316000910 |
| Provider Name | Katharine Dawson Coale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780196121 PECOS PAC ID: 2769748508 Enrollment ID: I20171109003226 |
| Provider Name | Sharon K Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528023496 PECOS PAC ID: 4284719121 Enrollment ID: I20200402001999 |
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