Healthcare Provider Details

I. General information

NPI: 1811008394
Provider Name (Legal Business Name): PETER F. BALLARD, M.D., PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 SOUTHTOWN DR
DANVILLE KY
40422-2534
US

IV. Provider business mailing address

PO BOX 1429
FRANKFORT KY
40602-1429
US

V. Phone/Fax

Practice location:
  • Phone: 859-936-9430
  • Fax: 859-936-0458
Mailing address:
  • Phone: 502-226-3858
  • Fax: 502-223-9829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: PETER FRANCIS BALLARD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 859-936-9430