Individual
JAD BALLOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 NICHOLASVILLE RD STE 400, LEXINGTON, KY 40503-1475
(859) 277-5887
(859) 276-7659
Mailing address
1720 NICHOLASVILLE RD STE 400, LEXINGTON, KY 40503-1475
(859) 277-5887
(859) 276-7659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.030026
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
53983
KY
Other
Enumeration date
07/09/2017
Last updated
05/11/2026
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