Individual
KAREN N BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9211 E 21ST ST N, WICHITA, KS 67206-2900
(316) 609-4400
(316) 634-4040
Mailing address
PO BOX 8035, WICHITA, KS 67208
(316) 689-9135
(316) 689-9667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501125
KS
Other
Enumeration date
08/17/2006
Last updated
04/04/2025
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