NPI 1811378102

Peter Kjell Ballard, MD

Practitioner Emergency Medicine Physician Apo, AA

Practice location

Address: 1 Malvesti St, Apo, AA 28310
Phone: (910) 907-6000

Registered specialties (3)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 2019-01753 (NC)

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Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence R1171 (TX)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1811378102
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2015
Record last updated: 9 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.