IndividualActive
Kimanda Ballard
NPI 1184424210 · Diagnostic Ultrasound Physician · Owasso, OK
Provider details
- NPI number
- 1184424210
- Entity type
- Individual
- Primary specialty
- Diagnostic Ultrasound PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 152638 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9102 N Garnett Rd
Owasso, OK 74055-4470
Phone: (918) 516-2524
Approximate (ZIP-level) locationGet directions
Mailing address
16560 Ranchland Rd
Skiatook, OK 74070-6001
Registry dates
- Enumerated
- 2025-03-17
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.