Individual
LAURA E BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
721 W KANSAS AVE, GREENSBURG, KS 67054-1633
(620) 723-2127
(620) 723-1037
Mailing address
PO BOX 819, WICHITA, KS 67201-0819
(620) 723-2127
(620) 723-1037
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-75911
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201097140A
—
KS
05
—
201097140B
—
KS
Enumeration date
01/24/2013
Last updated
08/12/2014
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