Eddie R Ballard, CSW
Individual provider Active NPI Case Manager/Care Coordinator · Kennett, MO
NPI 1447586474 · NPPES record last updated Oct 27, 2009
Key facts
- NPI
- 1447586474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 925 State Hwy VV
Kennett, MO 63857 - Phone
- (573) 888-5925
- Fax
- (573) 888-9365
- NPI assigned
- Oct 27, 2009
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
925 State Hwy VV
Kennett, MO 63857
Mailing address
925 State Hwy VV
PO Box 71
Kennett, MO 63857
Phone (573) 888-5925
Other providers in Kennett, MO
- Hayden Austin
- Brittany Elisabeth Axelson
- Jennifer Leann Bader
- Alexis Leanna Baker
- Jordan Baker
- Elsie Barbosa
- Alison Taylor Barnes
- Kelsey Leeann Barnes
- Wilmir Phillip Barrera
- Michael Allen Barrow
All providers in Kennett, MO · Case Manager/Care Coordinator in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2009. 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.