Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS KELLY BALLARD IV
ActiveStudent (Health Education/Training) · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1245975226
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2022 (3.9682613733585 yrs)
- Last Updated
- May 11, 2022
Practice Information
- Address
-
7601 SOUTHCREST PKWYSOUTHAVEN, MS, 386714739Browse MS providers · Browse ZIP 38671
- Phone
- 6627724696
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| LISA DEPTULA | PA, MD | 1184052508 |
| PEYTON MILES | — | 1134877764 |
| DANIEL JOGLY LAREZ SOLANO | MD | 1659015063 |
| LUAN TRONG TRAN | DO | 1710621925 |
| TREVOR MCGEE | — | 1215672175 |
| NICOLE MARIE FONTENOT | DO | 1376288233 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.