Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CPO-2377 | DE |
N | 222Z00000X | Podiatrist | CPO-2377 | DE |
Y | 224P00000X | Prosthetist | CPO-2377 | DE |
NPI | 1356555437 |
---|---|
Provider Name | Robert Kent Ballard |
First Address | Asheville, NC 28803-2318 |
Second Address | Asheville, NC 28803-2585 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 15/04/2008 |