SHELLY RAY BALLIET

MERCY HEALTH PHYSICIANS KENTUCKY LLC

Dr SHELLY RAY BALLIET is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

MERCY HEALTH PHYSICIANS KENTUCKY LLC

225 MEDICAL CTR DR
SUITE 304
PADUCAH
KY
420037915

Tel: 2705385596

SHELLY RAY BALLIET Information

Npi 1184126260
Pac Id 2567724289
Professional Enrollment Id I20180316001377
Last Name BALLIET
First Name SHELLY
Middle Name RAY
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MERCY HEALTH PHYSICIANS KENTUCKY LLC
Group Practice Pac Id 1153488648
Number Of Group Practice Members 144
Line 1 Street Address 225 MEDICAL CTR DR
Line 2 Street Address SUITE 304
Marker Of Address Line 2 Suppression
City PADUCAH
State KY
Zip Code 420037915
Phone Number 2705385596
Hospital Affiliation Ccn 1 180102
Hospital Affiliation Lbn 1 LOURDES HOSPITAL
Hospital Affiliation Ccn 2 180104
Hospital Affiliation Lbn 2 BAPTIST HEALTH PADUCAH
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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