MEDICARE: MADISON BALL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1215871371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON BALL

Provider Business Mailing Address
First Line	:	515 MAIN ST APT 467
Second Line	:
City	:	COVINGTON
State	:	KY
Zip	:	41011-1699
Country	:	US
Telephone Number	:	859-585-8710
Fax Number	:

Provider Business Practice Location Address
First Line	:	3457 VALLEYPLAZA PKWY
Second Line	:
City	:	FT MITCHELL
State	:	KY
Zip	:	41017-8176
Country	:	US
Telephone Number	:	859-344-2760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

Similar Medicare Providers

1366235608 — ALEXANDRIA NICOLE SANCHEZ CNP
Practice Location Address:

3457 VALLEYPLAZA PKWY
FT MITCHELL, KY
41017-8176

Practice Phone: 859-344-2760
Practice Fax:

1164428546 — DR. KLAUDE P KOCAN D.C.
Practice Location Address:

2182 DIXIE HWY
FT MITCHELL, KY
41017-2902

Practice Phone: 859-344-6001
Practice Fax: 859-344-6005

1780683532 — CITY OF FORT MITCHELL OFFICE OF TREASURER
Practice Location Address:

2355 DIXIE HWY
FT MITCHELL, KY
41017-2948

Practice Phone: 859-331-1267
Practice Fax: 859-331-6102

1588664494 — KATHRYN EILEEN FERNER PSY.D.
Practice Location Address:

16 WOODLAWN AVE
FT MITCHELL, KY
41017-2724

Practice Phone: 859-341-4480
Practice Fax: 859-426-0109

1780686253 — DR. STEPHEN RICHARD KEES DMD
Practice Location Address:

2370 GRANDVIEW DR
FT MITCHELL, KY
41017-1633

Practice Phone: 859-331-4449
Practice Fax: 859-331-4474

1346204005 — LYNN CURTIS SHEWMAKER O.D.
Practice Location Address:

2174 DIXIE HWY
FT MITCHELL, KY
41017-2902

Practice Phone: 859-341-2566
Practice Fax: 859-341-2568

Directions to “ MADISON BALL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.