Individual
DR. DEBORAH ANN BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3945 NANZ AVE, LOUISVILLE, KY 40207-4937
(502) 593-0327
Mailing address
3945 NANZ AVE, LOUISVILLE, KY 40207-4937
(502) 890-6729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
KY26476
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227457
ANTHEM
KY
05
—
200910970
—
IN
01
—
3553349000
PASSPORT ADVANTAGE
KY
01
—
50021488
PASSPORT
KY
05
—
64264765
—
KY
Enumeration date
08/02/2006
Last updated
07/21/2022
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