Individual
KATY BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 W UNIVERSITY BLVD, CEDAR CITY, UT 84720-2415
(435) 586-7700
Mailing address
PO BOX 837, FREDONIA, AZ 86022-0837
(435) 689-1914
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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