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LAURA E BALLARD APRN

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1295073344

Individual Registrant:
 LAURA E BALLARD APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
721 W KANSAS AVE  GREENSBURG, KS 67054-1633 US
Tel: 620-723-2127  Fax: 620-723-1037

Contact information for business:
PO BOX 819  WICHITA, KS 67201-0819 US
Tel: 620-723-2127  Fax: 620-723-1037

Registration Information:
NPI: 1295073344
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
KS53-75911

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
201097140BKS05
201097140AKS05




HEALTH CARE JOBS KS - Page 1



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