Individual
MICHELE DEANN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
200 CLINIC DR # 6, MADISONVILLE, KY 42431-1661
(812) 477-7246
(270) 554-8987
Mailing address
67 LAKEVIEW DR, PADUCAH, KY 42001-5619
(270) 554-8373
(270) 554-8987
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
3010855
KY
363L00000X
Nurse Practitioner
Primary
3010855
KY
Other
Enumeration date
11/09/2016
Last updated
11/30/2023
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