Individual
KATHLEEN M BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10000 W 75TH ST, #250, MERRIAM, KS 66204-2209
(913) 894-1910
(877) 913-1174
Mailing address
10000 W 75TH ST, #250, MERRIAM, KS 66204-2209
(913) 894-1910
(877) 913-1174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
220
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220
KANSAS STATE DEPARTMENT OF HEATH AND ENVIRONMENT
KS
Enumeration date
07/20/2008
Last updated
07/20/2008
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