Individual
MS. KELLY ELYSE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-5098
(661) 326-2050
Mailing address
5707 ROCKWELL DR, BAKERSFIELD, CA 93308-4077
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
16924
CA
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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