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CINDA JOYCE BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
720 W HILL ST, LOUISVILLE, KY 40208-2216
(502) 636-3164
(502) 634-3731
Mailing address
PO BOX 950257, LOUISVILLE, KY 40295-0257
(502) 969-6552
(502) 969-3799

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3857P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000568032
ANTHEM - NLPCC
KY
01
0042308
MEDICARE - KY - NLPCC
KY
01
096484
SIHO - NLPCC
KY
01
098856
SIHO - NORTON ICC
KY
01
3525229000
PASSPORT ADVTG - NLPCC
KY
01
50019417
PASSPORT - NLPCC
KY
05
78009719
KY
Enumeration date
01/09/2007
Last updated
07/02/2009
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