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Individual
DR. PETER KJELL BALLARD
Active
Individual
DR. PETER KJELL BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2019-01753
NC
207P00000X
Emergency Medicine Physician
R1171
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2015
Last updated
09/03/2026
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