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Individual

KENYA J BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8154 COUNTY ROAD 2419, ROYSE CITY, TX 75189-2831
(214) 552-8606
Mailing address
9554 COUNTY ROAD 2440, ROYSE CITY, TX 75189-3082
(214) 552-8606

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
590736
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
590726
LICENSE
TX
01
8N8227
BCBS
TX
Enumeration date
09/12/2006
Last updated
01/14/2021
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