Organization
ELLEN M. BALLARD, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN M. BALLARD M.D. (PRESIDENT)
(502) 456-2677
Entity
Organization
Contact information
Practice address
3430 NEWBURG RD, SUITE 111, LOUISVILLE, KY 40218-2497
(502) 456-2677
(502) 458-2163
Mailing address
PO BOX 1430, FRANKFORT, KY 40602-1430
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000174219
ANTHEM BLUE CROSS
KY
Enumeration date
09/11/2007
Last updated
09/11/2007
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