Individual
KACY C BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 S GRANT AVE FL 3, COLUMBUS, OH 43215-4701
(614) 566-9871
(614) 566-9503
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.06783
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2304965
—
OH
Enumeration date
02/23/2006
Last updated
11/14/2022
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