Kimberley Ballard
Rehabilitation Practitioner in Camarillo, CA. Individual provider (NPI-1).
NPI number1457761140
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1457761140
- Entity type
- Individual (NPI-1)
- Name
- Kimberley Ballard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2014
- Certification date
- May 1, 2025
- Last updated
- May 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
1722 S Lewis RdCamarillo, CA 93012-8520
Phone 805-366-4254
Mailing address
1722 S Lewis RdCamarillo, CA 93012-8520
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All 101 Rehabilitation Practitioner providers in Camarillo · All 3,194 providers in Camarillo
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