Individual
MRS. KRISTI LYNN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 W SMITH VALLEY RD # UNITYC-1, GREENWOOD, IN 46142-1599
(317) 300-4091
Mailing address
6302 HARMONRIDGE CT, INDIANAPOLIS, IN 46278-2218
(317) 550-7292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100002703A
IN
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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