Kris Blackwell
NPI #1659150712 in Whitmore Lake, Michigan
Provider Information
- NPI Number
- 1659150712
- Entity Type
- Individual
- Name
- Kris Blackwell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Sep 27, 2023
- Last Updated
- Sep 27, 2023
Practice Location
- Address
- 11733 DUNLAVY LN
- City
- Whitmore Lake
- State
- Michigan
- ZIP Code
- 48189-9375
- Phone
- (734) 780-5943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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