Individual
DR. KATHRYN V BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
215 S BURLINGTON RD, BRIDGETON, NJ 08302-3479
(856) 459-8231
(856) 459-8211
Mailing address
46 MOHAWK TRL, MEDFORD LAKES, NJ 08055-1527
(609) 234-0103
(856) 459-8211
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MB06373800
NJ
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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