Individual
ANGELA MARIE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-5968
(502) 349-0963
Mailing address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-5968
(502) 349-0963
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2356P
KY
363L00000X
Nurse Practitioner
Primary
3002356
KY
Other
Enumeration date
07/11/2005
Last updated
11/22/2016
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