Individual
KAREN KAY BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1710 W. SOUTHERN AVE, CONCENTRA - MESA, MESA, AZ 85034
(219) 392-7424
Mailing address
1710 W. SOUTHERN AVE, CONCENTRA - MESA, MESA, AZ 85034
(480) 644-7900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71001475A
IN
363LX0106X
Occupational Health Nurse Practitioner
Primary
AP4594
AZ
Other
Enumeration date
02/11/2007
Last updated
10/24/2014
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