Individual provider · Type 1 NPI

Kelly Kathleen Balletti

Medical Physician Assistant · Coral Gables, FL

NPI number 1790218634 Active

About NPI 1790218634

Kelly Kathleen Balletti's National Provider Identifier is 1790218634, issued on Apr 7, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Coral Gables, FL. The record was last updated on Oct 2, 2026.