Individual
DONALD EDWARD BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2000 RING RD, ELIZABETHTOWN, KY 42701-9454
(270) 506-2730
(270) 900-0704
Mailing address
7818 PEAR VIEW LN, LOUISVILLE, KY 40218-4761
(502) 552-5512
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3016712
KY
Other
Enumeration date
09/27/2021
Last updated
10/12/2021
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