Ballard, Kacy C

Ballard, Kacy C is an individual health care provider with primary practice located at 111 S Grant Ave Fl 3 , Columbus OH 43215-4701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ballard, Kacy C can be contacted via phone (614) 566-9871.

Contact Information

Primary practice address
111 S Grant Ave Fl 3 Columbus OH 43215-4701
Phone: (614) 566-9871
Fax: (614) 566-9503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN.CRNA.06783 Ohio

Profile Details

NPI number 1659347466
LBN Legal business name Ballard, Kacy C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Nov 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659347466 NPPES
Ohio MEDICAID 2304965

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