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1861414260
KATHLEEN BALLARD
SHREVEPORT, LA
NPI
1861414260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA AP04387)
Enumeration Date
2006-07-24
Last Update Date
2023-08-23
Business Address
KATHLEEN BALLARD NP
1501 KINGS HWY DEPARTMENT OF MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7636
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Mailing Address
KATHLEEN BALLARD NP
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287
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