Provider Demographics
NPI:1467332205
Name:BALL, KATELYNNE (RN)
Entity type:Individual
Prefix:
First Name:KATELYNNE
Middle Name:
Last Name:BALL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8579 ARROWWOOD DR APT 104
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-6420
Mailing Address - Country:US
Mailing Address - Phone:513-365-8494
Mailing Address - Fax:
Practice Address - Street 1:6730 ROOSEVELT AVE STE 301
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45005-5736
Practice Address - Country:US
Practice Address - Phone:513-928-3339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.453533163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse