MRS. Kristi Lynn Blackburn, PA-C

NPI #1093471799 in Greenwood, Indiana

Provider Information

NPI Number: 1093471799
Entity Type: Individual
Name: MRS. Kristi Lynn Blackburn, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 17, 2021
Last Updated: Nov 17, 2021

Practice Location

Address: 1700 W SMITH VALLEY RD # UNITYC-1
City: Greenwood
State: Indiana
ZIP Code: 46142-1599
Phone: (317) 300-4091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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