# PETER F. BALLARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134230709
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | 22421 | KY | Yes |
| 207Y00000X | Otolaryngology Physician | 22421 | KY | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 11/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000041698 | ANTHEM PIN | KY |
| 05 | — | 64224215 | — | KY |