Katherine E. Ballard, M.D.
Individual provider Active NPI Interventional Pain Medicine Physician · Lexington, KY
NPI 1871521252 · NPPES record last updated Jul 13, 2016
Key facts
- NPI
- 1871521252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- License
- 40989 (KY)
- Practice address
- 2416 Regency Road
Lexington, KY 40503 - Phone
- (859) 278-1316
- Fax
- (859) 260-2470
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Technology and Rehabilitation, P.C. | Past | Accepting new patients | |
| Spine Technology and Rehabilitation, P.C. | Interventional Pain Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 40989 | KY | Yes |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 40989 | KY |
Addresses
Primary practice location
2416 Regency Road
Lexington, KY 40503
Mailing address
280 Pasadena Dr
Lexington, KY 40503-2925
Phone (859) 278-1316
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000541465 | Other | KY | BC/BS |
| 1237125 | Other | CHA | |
| 7100031340 | Medicaid | KY |
Other providers in Lexington, KY
- Amber Kincaid Ballard
- Angela Michelle Ballard
- Bryanna Ballard
- Erica Smith Ballard
- Hubert Otho Ballard
- Lora Ballard
- Paula Ann Ballard
- Sierra Ballard
- Jason Ballengee
- William Keith Ballentine III
All providers in Lexington, KY · Interventional Pain Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2016. 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.