Individual
KATHY BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
5414 FREDERICKSBURG RD, SUITE 100, SAN ANTONIO, TX 78229-3641
(210) 541-8281
(210) 541-9123
Mailing address
5414 FREDERICKSBURG RD, SUITE 100, SAN ANTONIO, TX 78229-3641
(210) 541-8281
(210) 541-9123
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
616084
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NURSING LICENSE
616084
TX
Enumeration date
07/17/2006
Last updated
07/08/2007
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