| NPI | 1750910758 |
|---|---|
| Former Name | KELLEY BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY R5576) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-06-12 |