KELLY BALLOU

FRISCO, CO
NPI1366467805
Former NameKELLY GABA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  PA0004388)
Enumeration Date2006-07-13
Last Update Date2017-03-28
Business Address
-- KELLY BALLOU P.A.-C
60 MAIN STREET STE F,G,H BEAVER PLAZA CONDO
FRISCO, CO 80443
Phone number: 309-287-1909
Mailing Address
-- KELLY BALLOU P.A.-C
265 DILLON RIDGE RD SUITE C402
DILLON, CO 80435-6009
Phone number: 309-287-1909
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