Kathryn T Ballard Md

LBN: Kathryn T Ballard Md
Kathryn T Ballard Md is an health care organization with primary practice located at 811 Ainsworth Dr Ste 106 , Prescott AZ 86301-1687. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Kathryn T Ballard Md can be contacted via phone (928) 771-5252, or through Ballard, Kathryn T via phone (928) 771-5252.

Contact Information

Primary practice address
811 Ainsworth Dr Ste 106 Prescott AZ 86301-1687
Phone: (928) 771-5252
Fax: (928) 771-5254
Website:
Map and Directions
Authorized official contact:
Name: Ballard, Kathryn T Doctor of Medicine (MD)
Phone: (928) 771-5252

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18608 Arizona

Profile Details

NPI number 1790053049
LBN Legal business name Kathryn T Ballard Md
DBA Doing business as
Authorized official Ballard, Kathryn T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2011
Last updated Dec 1st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790053049 NPPES
Arizona MEDICAID 295403

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