Provider Demographics
NPI:1235268277
Name:BALLARD COUNTY SCHOOLS
Entity Type:Organization
Organization Name:BALLARD COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:FANETTA
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:PUCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-665-8400
Mailing Address - Street 1:3465 PADUCAH RD
Mailing Address - Street 2:
Mailing Address - City:BARLOW
Mailing Address - State:KY
Mailing Address - Zip Code:42024-9704
Mailing Address - Country:US
Mailing Address - Phone:270-665-8400
Mailing Address - Fax:270-665-5644
Practice Address - Street 1:3465 PADUCAH RD
Practice Address - Street 2:
Practice Address - City:BARLOW
Practice Address - State:KY
Practice Address - Zip Code:42024-9704
Practice Address - Country:US
Practice Address - Phone:270-665-8400
Practice Address - Fax:270-665-5644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)