Individual
DR. WILLIAM E BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1760 NICHOLASVILLE RD, SUITE 301, LEXINGTON, KY 40503-1471
(859) 277-5766
(859) 277-3406
Mailing address
1760 NICHOLASVILLE RD, SUITE 301, LEXINGTON, KY 40503-1471
(859) 277-5766
(859) 277-3406
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
15471
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64154719
—
KY
Enumeration date
07/05/2005
Last updated
03/11/2008
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