MEDICARE: KATHERINE L BALL MD

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	207P00000X	Emergency Medicine Physician	D0054495	MD
2	207P00000X	Emergency Medicine Physician	MD047303L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942288386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE L BALL MD

Provider Business Mailing Address
First Line	:	2118 SPRING VALLEY RD
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-2427
Country	:	US
Telephone Number	:	717-544-0150
Fax Number	:	717-544-0151

Provider Business Practice Location Address
First Line	:	2118 SPRING VALLEY RD
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-2427
Country	:	US
Telephone Number	:	717-544-0150
Fax Number	:	717-544-0151

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

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	07/11/2013

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Directions to “ KATHERINE L BALL MD” Practice Location

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