Individual
PETER F. BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
478 WHIRLAWAY DR, SUITE 100, DANVILLE, KY 40422-9037
(859) 936-9430
(859) 236-2284
Mailing address
478 WHIRLAWAY DR, SUITE 100, DANVILLE, KY 40422-9037
(859) 936-9430
(859) 236-2284
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
22421
KY
207Y00000X
Otolaryngology Physician
22421
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000041698
ANTHEM PIN
KY
05
—
64224215
—
KY
Enumeration date
08/31/2006
Last updated
11/17/2011
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