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1508959511
KIMBERLY D BALLARD
DANIELS, WV
NPI
1508959511
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Former Name
KIMBERLY GRIMMETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 2000)
Enumeration Date
2006-10-02
Last Update Date
2007-07-10
Business Address
-- KIMBERLY D BALLARD D.O.
2157 RITTER DR
DANIELS, WV 25832-9371
Phone number: 304-763-4326
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Mailing Address
-- KIMBERLY D BALLARD D.O.
252 RURAL ACRES DR
BECKLEY, WV 25801-3503
Phone number: 304-252-8551
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