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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN GREGORY BALLWEG

Active

KEVIN GREGORY BALLWEG is a Physician Assistant healthcare provider located in FORT MYERS, Florida. NPI 1508721762 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT MYERS, FL

Registration Details

NPI Number
1508721762
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2025 (0.64464917846401 yrs)
Last Updated
Feb 22, 2026
License
9121398 (FL)

Practice Information

Address
13681 DOCTORS WAY
FORT MYERS, FL, 339124300
Browse FL providers · Browse ZIP 33912
Phone
2393431000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT MYERS, FL

Name Credential NPI
MATTHEW EDWARD MEAGHER PAC 1730185356
MR. JARED P. REISS PA-C 1558360206
PASQUALE JOHN DEFIORE PA-C 1063413458
CLAUDETTE F JACKSON PAC 1962494450
MS. KRISTIN J OVADAL PAC 1063407930
BARBARA J MAGGIANI PA-C 1942282546
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.