Individual
ELLEN MARGARET BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1941 BISHOP LN STE 402, LOUISVILLE, KY 40218-1922
(502) 458-2677
(502) 458-2163
Mailing address
1941 BISHOP LN STE 402, LOUISVILLE, KY 40218-1922
(502) 456-2677
(502) 458-2163
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
26543
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000174219
ANTHEM
KY
01
—
1127947
PASSPORT HEALTH
KY
01
—
373344400
DOL
KY
01
—
5729195
AETNA
KY
Enumeration date
11/02/2006
Last updated
01/07/2020
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