Individual provider · Type 1 NPI
Kimanda Ballard
Diagnostic Ultrasound Physician · Owasso, OK
NPI number
1184424210
Active
Practice location
9102 N Garnett Rd
Owasso, OK 74055-4470
Mailing address
16560 Ranchland Rd
Skiatook, OK 74070-6001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Ultrasound Physician Primary | 2085U0001X | 152638 (OK) |
Diagnostic Ultrasound Physician: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
About NPI 1184424210
Kimanda Ballard's National Provider Identifier is 1184424210, issued on Mar 17, 2025. The primary taxonomy on file is Diagnostic Ultrasound Physician (2085U0001X), and the practice location is in Owasso, OK. The record was last updated on Mar 17, 2025.