Individual provider · Type 1 NPI

Kelly Ballou, P.A.-C

Procedural Dermatology Physician · Frisco, CO

NPI number 1366467805 Active

Practice location

60 Main Street, Ste F,g,h Beaver Plaza Condo
Frisco, CO 80443

Mailing address

400 N Park Ave, Ste 12-B #1178
Breckenridge, CO 80424

Specialties and licenses

TaxonomyCodeLicense
Procedural Dermatology Physician Primary 207NS0135XPA0004388 (CO)
Physician Assistant 363A00000XPA0004388 (CO)

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

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About NPI 1366467805

Kelly Ballou, P.A.-C's National Provider Identifier is 1366467805, issued on Jul 13, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Frisco, CO. The record was last updated on Jun 21, 2026.