NPI 1508959511 · live from the CMS NPI Registry
Kimberly D Ballard, D.O.
Family Medicine in Daniels, WV. National Provider Identifier 1508959511, active.
NPI record
| NPI | 1508959511 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2157 Ritter Dr, Daniels, WV 25832 |
| Practice phone | 304-763-4326 |
| Mailing address | 252 Rural Acres Dr, Beckley, WV 25801 |
| Enumerated | October 2, 2006 |
| Last updated | January 9, 2025 |
| Sole proprietor | No |
| Other names | Kimberly Grimmett |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 2000 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.