Individual
NATALIE M BALLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 MEDICAL CENTER DR, SUITE 405, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770
Mailing address
225 MEDICAL CENTER DR, SUITE 405, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME104502
FL
390200000X
Student in an Organized Health Care Education/Training Program
0116017721
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000670366
BCBS
KY
01
—
146LN
BCBS
FL
05
—
7100125680
—
KY
Enumeration date
05/03/2007
Last updated
08/31/2010
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