Individual provider · NPI-1

Katherine Latham Ball, MD

Family Medicine · Nampa, ID

NPI number1427314475
StatusActive
Last updated in NPPESJun 24, 2019

Details

NPI
1427314475
Entity type
Individual (NPI-1)
Name
Katherine Latham Ball
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 4, 2012
Last updated
Jun 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineM-12869IDYes

Practice location

1150 N Sister Catherine Way
Nampa, ID 83687

Phone 208-302-7000 · Fax 208-302-7055

Mailing address

3340 E Goldstone Dr.
Meridian, ID 83642

Phone 208-302-7000 · Fax 208-302-7055

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