Individual
DR. KATHRYN T BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1090 COMMERCE DR, PRESCOTT, AZ 86305
(928) 583-1000
(866) 323-8458
Mailing address
1471 MARVIN GARDENS LN, PRESCOTT, AZ 86301-5520
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18608
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295403
—
AZ
Enumeration date
01/26/2006
Last updated
06/29/2018
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