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Individual
KIMBERLY D BALLARD
Active
Individual
KIMBERLY D BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001761048
BCBS
—
01
—
2138918
UNITEDHEALTHCARE
—
01
—
323711
CARELINK
—
05
—
3810003008
—
WV
05
—
58606
—
WV
05
—
89608
—
WV
01
—
I33574
HEALTH NET
—
01
—
P00389008
MEDICARE TRAVELERS RAILRO
WV
Enumeration date
10/02/2006
Last updated
01/09/2025
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