Individual
DR. LAURIE KAY BALLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2520 NEW HOLT RD STE I, PADUCAH, KY 42001-7547
(270) 558-3916
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(513) 981-5130
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02436
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64006901
—
KY
Enumeration date
02/02/2006
Last updated
09/20/2024
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