Individual
PAMELA BALLARD
Active
Individual
PAMELA BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
19091
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112522
KAISER
—
01
—
411438
MAMSI
—
01
—
4398916
AETNA
—
01
—
494959
NCPPO
—
01
—
520846-01
BS OF MD
MD
01
—
5460-0036
BS OF NCA
DC
01
—
7639069003
CIGNA
—
01
—
852241
AETNA HMO
—
Enumeration date
03/10/2006
Last updated
12/10/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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