Individual
MR. KEVIN MICHAEL BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
13981 86TH AVE, SEMINOLE, FL 33776-2230
(727) 517-1530
Mailing address
13981 86TH AVE, SEMINOLE, FL 33776-2230
(727) 517-1530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9304786
FL
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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