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Organization
INGRAM & BALL, PLLC
Active
Organization
INGRAM & BALL, PLLC
Active
Other names
Heartland Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS G INGRAM MD (OWNER)
(270) 765-5926
Entity
Organization
Contact information
Practice address
2412 RING RD, SUITE 200, ELIZABETHTOWN, KY 42701-7998
(270) 765-5926
(270) 763-0051
Mailing address
2412 RING RD, SUITE 200, ELIZABETHTOWN, KY 42701-7998
(270) 765-5926
(270) 763-0051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/30/2006
Last updated
05/31/2017
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