Individual
MEKENZIE JO BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HILL AVE, NASHVILLE, TN 37210-4754
(615) 329-4790
Mailing address
1507 SHELBURNE CIR UNIT 201, LOUISVILLE, KY 40208-2435
(270) 528-7699
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2025
Last updated
04/12/2025
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