Kathy Jean Ball, RDH
Individual provider Active NPI Dental Hygienist · Fort Hood, TX
NPI 1811348378 · NPPES record last updated Jun 27, 2016
Key facts
- NPI
- 1811348378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 11294 (TX)
- Practice address
- 9440 Battalion
Fairbank Dental Clinic
Fort Hood, TX 76544 - Phone
- (254) 288-7848
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11294 | TX | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 11294 | TX | Yes |
Addresses
Primary practice location
9440 Battalion
Fairbank Dental Clinic
Fort Hood, TX 76544
Mailing address
4431 68TH Street
US Army Dental Activity
Fort Hood, TX 76544
Phone (254) 288-7848
Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.