Dolores Ballard is a Clinical in Lebanon, Kentucky. Dolores Ballard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dolores Ballard is 1568400414. The last update date is 2007-07-08.
Dolores Ballard's current location address is 65 Old Springfield Rd, Lebanon, Kentucky. You can contact this provider via phone number 2706922509 and fax number 2706922592. The mailing address for Dolores Ballard is 65 Old Springfield Rd, Lebanon, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dolores Ballard |
|---|---|
| Address | 65 Old Springfield Rd, Lebanon, Kentucky |
| Phone Number | 2706922509 |
| Fax Number | 2706922592 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1568400414 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 65 Old Springfield Rd |
|---|---|
| City | Lebanon |
| State | Kentucky (KY) |
| Post Code | 400339185 |
| Phone Number | 2706922509 |
| Fax Number | 2706922592 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1664 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30605018 | KY | -- | |
| 11489631 | CAQH |
Post Comment/ Review Below
What is the unique identifier code issued to Dolores Ballard by the Centers for Medicare & Medicaid Services (CMS)?
The Dolores Ballard has been assigned the NPI (National Provider Identifier) 1568400414. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Dolores Ballard's physical address?
The Dolores Ballard is physically located at 65 Old Springfield Rd, in the city of Lebanon, KY, with the postal code 400339185.
What is Dolores Ballard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dolores Ballard is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date was the 1568400414 assigned to Dolores Ballard?
The Dolores Ballard was issued its 1568400414 on 2006-06-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Dolores Ballard's details last updated?
The information pertaining to the Dolores Ballard, including its address, specialty, and other details, was most recently updated on 2007-07-08.