- Practice location
- 22 Bramhall St, Portland, ME 04102-3134
- Phone
- 207-774-2381
- Fax
- 207-774-0459
- Last updated
- November 8, 2023
Kathleen Marie Ballard is a Physician Assistant based in Portland, ME. Kathleen Marie Ballard practices in Portland, ME and has the professional credentials of PA-C. The NPI Number for Kathleen Marie Ballard is 1316352362 and holds a License No. PA1494 (ME). The current practice location address for Kathleen Marie Ballard is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 207-774-2381 and via fax at 207-774-0459.
Provider Profile Details
- NPI Number
- 1316352362
- Provider Name
- Kathleen Marie Ballard
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22 Bramhall St, Portland, ME 04102-3134
- Phone Number
- 207-774-2381
- Fax Number
- 207-774-0459
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 29, 2014
- Last Update Date
- November 8, 2023
- Certification Date
- November 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Bramhall St
Portland, ME 04102-3134 - City
- Portland
- State
- Maine
- Zip
- 04102-3134
- Phone Number
- 207-774-2381
- Fax Number
- 207-774-0459
Provider Business Mailing Address Details
- Address
- 887 Congress St Ste 400
Portland, ME 04102-3163 - City
- Portland
- State
- ME
- Zip
- 04102-3163
- Phone Number
- 207-774-6368
- Fax Number
- 207-662-7996
License Information
- License Number
- PA1494
- License State
- ME
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Portland, ME
View all Physician Assistants in Portland →- Allison C AinleyPhysician Assistant · NPI 1821837469
- Amy L Barraclough, PA-CPhysician Assistant · NPI 1770533713
- Anna L Ashline, PA-CPhysician Assistant · NPI 1679046700
- Anne Barter, PA-CPhysician Assistant · NPI 1245280981
- Ashley M Bartlett, PAPhysician Assistant · NPI 1326769548
- Ashley R Anderson, PA-CPhysician Assistant · NPI 1093352718
Frequently Asked Questions
What is the NPI number of Kathleen M Ballard, PA-C?
The NPI number of Kathleen M Ballard, PA-C is 1316352362. It was assigned on June 29, 2014 and is currently active in the NPPES registry.
What is the specialty of Kathleen M Ballard, PA-C?
Kathleen M Ballard, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1494.
Where does Kathleen M Ballard, PA-C practice?
The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 207-774-2381 (phone) or 207-774-0459 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316352362 directly on the NPPES registry website.