Angela Marie Ballard

NPI #1033117478 in Bardstown, Kentucky

Provider Information

NPI Number
1033117478
Entity Type
Individual
Name
Angela Marie Ballard
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Jul 11, 2005
Last Updated
Nov 22, 2016

Practice Location

Address
201 S 5TH ST
ZIP Code
40004-1142
Phone
(502) 348-5968

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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