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Individual
KELECHI BLANTON
Active
Individual
KELECHI BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP141146
TX
363LG0600X
Gerontology Nurse Practitioner
AP141146
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP141146
TX
Other
Enumeration date
06/17/2019
Last updated
11/04/2025
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