Kimberly Suzzane Blackwell, PA-C

NPI #1013098342 in Indianapolis, Indiana

Provider Information

NPI Number: 1013098342
Entity Type: Individual
Name: Kimberly Suzzane Blackwell, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 17, 2006
Last Updated: Sep 10, 2021

Practice Location

Address: 8326 NAAB RD
City: Indianapolis
State: Indiana
ZIP Code: 46260-1920
Phone: (317) 871-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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