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NPI Code Detail

MEDICARE: SUSAN D BALL LPN

MEDICARE: SUSAN D BALL LPN
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
1164W00000XLicensed Practical Nurse1117126.MEDSOH

General Provider Information

NPI Number : 1194671487
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN D BALL LPN
Provider Business Mailing Address
First Line : 6895 CLUM RD
Second Line :
City : HARROD
State : OH
Zip : 45850-9412
Country : US
Telephone Number : 419-229-2222
Fax Number : 419-229-2227
Provider Business Practice Location Address
First Line : 5982 RHODES RD
Second Line :
City : KENT
State : OH
Zip : 44240-8100
Country : US
Telephone Number : 419-229-2222
Fax Number : 419-229-2227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ SUSAN D BALL LPN” Practice Location

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