Provider Demographics
NPI:1326423773
Name:BALL, CASEY
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:BALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 INTERNATIONAL CIRCLE SUITE 230
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030
Mailing Address - Country:US
Mailing Address - Phone:410-215-7190
Mailing Address - Fax:888-614-3955
Practice Address - Street 1:210 INTERNATIONAL CIRCLE SUITE 230
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21030
Practice Address - Country:US
Practice Address - Phone:410-215-7190
Practice Address - Fax:888-614-3955
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management