Kahni C Blackmon, PHD
NPI #1902177884 in Revere, Massachusetts
Provider Information
- NPI Number
- 1902177884
- Entity Type
- Individual
- Name
- Kahni C Blackmon, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Credential
- PHD
- Enumeration Date
- Jan 24, 2012
- Last Updated
- Jan 24, 2012
Practice Location
- Address
- MGH REVERE HEALTHCARE CENTER
- Address 2
- 300 OCEAN AVE.
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151
- Phone
- (781) 485-6180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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