Individual
DEVON BLANDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 E CHESTNUT ST BLDG STE 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
Mailing address
3206 FIVE OAKS PL, LOUISVILLE, KY 40207-4306
(502) 550-8654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC267
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2022
Last updated
04/24/2023
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