| NPI | 1093220584 |
|---|---|
| Former Legal Business Name | K. KYLE BALLEW, D.P.M. |
| Entity Type | Organization |
| Authorized Contact | KRISTI TYE Office Coordinator 254-732-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2024-04-26 |