Individual
HUBERT OTHO BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5481
Mailing address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(859) 257-7910
(859) 257-7899
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
33261
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
33261
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64011596
—
KY
Enumeration date
07/19/2006
Last updated
10/03/2012
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