Kathleen M Ballard, MS
Individual provider Active NPI Speech-Language Pathologist · Merriam, KS
NPI 1013172014 · NPPES record last updated Jul 20, 2008
Key facts
- NPI
- 1013172014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 220 (KS)
- Practice address
- 10000 W 75TH St
#250
Merriam, KS 66204-2209 - Phone
- (913) 894-1910
- Fax
- (877) 913-1174
- NPI assigned
- Jul 20, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220 | KS | MD | Cognitive & Behavioral Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 220 | KS | Yes |
Addresses
Primary practice location
10000 W 75TH St
#250
Merriam, KS 66204-2209
Mailing address
10000 W 75TH St
#250
Merriam, KS 66204-2209
Phone (913) 894-1910
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220 | Other | KS | KANSAS STATE DEPARTMENT OF HEATH AND ENVIRONMENT |
Other providers in Merriam, KS
- Katherine Askew
- Seth Adam Atchison
- Oluwatise Babatope-Ojo
- Mary Bader
- Heather Anne Ballantyne
- Selena Bantel
- Angela Lee Barnes
- Lori Ann Barr
- Sharon Barr
- Christopher Jay Bauer
All providers in Merriam, KS · Speech-Language Pathologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.