Amanda M Ballard, OD

NPI #1285969055 in Lebanon, Kentucky

Provider Information

NPI Number
1285969055
Entity Type
Individual
Name
Amanda M Ballard, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Oct 12, 2009
Last Updated
Jun 14, 2010

Practice Location

Address
325 W WALNUT ST
Address 2
STE400
ZIP Code
40033-1377
Phone
(502) 955-2020

Specialties & Taxonomy Codes

Specialty
Optometrist

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