Kimanda Ballard, is a
Radiology - Diagnostic Ultrasound physician based in Owasso, Oklahoma. Kimanda Ballard is licensed to practice in Oklahoma (license number 152638) and her current practice location is 9102 N Garnett Rd, Owasso, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 516-2524.
NPI number for Kimanda Ballard is 1184424210 and her current mailing address is 16560 Ranchland Rd, Skiatook, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184424210.
Physician's Profile
Full Name | Kimanda Ballard |
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Gender | Female |
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Speciality | Radiology - Diagnostic Ultrasound |
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Location | 9102 N Garnett Rd, Owasso, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184424210
- Provider Enumeration Date: 03/17/2025
- Last Update Date: 03/17/2025
Medical Identifiers
Medical identifiers for Kimanda Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184424210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085U0001X | Radiology - Diagnostic Ultrasound | 152638 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimanda Ballard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimanda Ballard, 16560 Ranchland Rd, Skiatook, OK 74070-6001 Ph: (918) 500-6245 | Kimanda Ballard, 9102 N Garnett Rd, Owasso, OK 74055-4470 Ph: (918) 516-2524 |
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