Individual
KATHERINE E. BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2416 REGENCY ROAD, LEXINGTON, KY 40503
(859) 278-1316
(859) 260-2470
Mailing address
280 PASADENA DR, LEXINGTON, KY 40503-2925
(859) 278-1316
(859) 685-0340
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
40989
KY
208VP0014X
Interventional Pain Medicine Physician
Primary
40989
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000541465
BC/BS
KY
01
—
1237125
CHA
—
05
—
7100031340
—
KY
Enumeration date
06/28/2006
Last updated
07/13/2016
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