Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Ballou, PA-C

Individual provider Procedural Dermatology Physician · NPI 1366467805

Kelly Ballou, PA-C is a Physician Assistant in Frisco, Colorado. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
23
Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

60 Main St Ste F G H Beaver Plaza Condo
Frisco, CO 80443
Phone: (309) 287-1909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence PA0004388 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA0004388 (CO)

Record details

NPI number1366467805
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 13, 2006
Last updated in NPPESJune 21, 2026
Certification dateJune 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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