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Individual

DR. BALLARD D WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2416 REGENCY RD, STE 30, LEXINGTON, KY 40503-2954
(859) 278-1316
(859) 276-1574
Mailing address
280 PASADENA DR, LEXINGTON, KY 40503-2925
(859) 278-1316
(859) 276-1574

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
13962
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000049168
ANTHEM BC/BS
KY
01
053587006
RAILROAD MCR
KY
01
163663600
DEPARTMENT OF LABOR
KY
01
50002212
PASSPORT
KY
05
64139629
KY
01
935670
UMWA
KY
Enumeration date
06/17/2005
Last updated
10/15/2013
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