# KRISTINE A BLACKHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487695219
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207U00000X | Nuclear Medicine Physician | 35084181 | OH | — |
| 207UN0901X | Nuclear Cardiology Physician | 35084181 | OH | — |
| 207UN0902X | Nuclear Imaging & Therapy Physician | 35084181 | OH | — |
| 207UN0903X | In Vivo & In Vitro Nuclear Medicine Physician | 35084181 | OH | — |
| 2085B0100X | Body Imaging Physician | 35084181 | OH | — |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | 35084181 | OH | — |
| 2085H0002X | Hospice and Palliative Medicine (Radiology) Physician | 35084181 | OH | — |
| 2085N0700X | Neuroradiology Physician | 35084181 | OH | Yes |
| 2085N0904X | Nuclear Radiology Physician | 35084181 | OH | — |
| 2085P0229X | Pediatric Radiology Physician | 35084181 | OH | — |
| 2085R0001X | Radiation Oncology Physician | 35084181 | OH | — |
| 2085R0202X | Diagnostic Radiology Physician | 35084181 | OH | — |
| 2085R0203X | Therapeutic Radiology Physician | 35084181 | OH | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 35084181 | OH | — |
| 2085U0001X | Diagnostic Ultrasound Physician | 35084181 | OH | — |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 08/27/2010