KIMANDA BALLARD, Diagnostic Ultrasound OWASSO, OK

Contact Information

KIMANDA BALLARD

9102 N GARNETT RD
OWASSO, OK 74055-4470

Phone: 918-516-2524
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Ultrasound	2085U0001X

Indicates primary specialty

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NPI Profile & details for KIMANDA BALLARD · (Female)

NPI Number	`1184424210`
Status	Active
Credentials
Entity	Individual
Enumeration date	03/17/2025
Last updated	03/17/2025 - More than a year ago
Sole proprietor ¹	No
Identifiers	OK License # 152638
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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