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Contact Information

KATHRYN T BALLARD, MD
1090 COMMERCE DR
PRESCOTT, AZ86305
 Phone: 928-583-1000
 Fax: 866-323-8458
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KATHRYN T BALLARD · (Female)

NPI Number 1285604504
Status Active
Credentials MD
Entity Individual
Enumeration date 01/26/2006
Last updated 06/29/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 18608
  • AZ Medicaid 295403
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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