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Kimanda Ballard

Diagnostic Radiology · Owasso, OK

UnclaimedNPI 1184424210
Primary taxonomy
2085U0001X
Enumerated
2025-03-17
Practice location
Owasso, OK
Last NPPES update
2025-03-17

State licenses

  • OK · Physician · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.