Individual
KEVIN D BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 253-4606
Mailing address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 253-4606
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R28679
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142320
UCARE #
MN
01
—
19666
ND MA
ND
05
—
19961
—
ND
01
—
23441
ND BC
MN
01
—
365Y6BA
BC MN
MN
05
—
726183700
—
MN
Enumeration date
06/05/2006
Last updated
09/19/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us