# KIMBERLY D BALLARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508959511
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2000 | WV | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 01/09/2025

## 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 |