Individual
MCKENZIE LYNN BLACKETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP
Contact information
Practice address
106 WINSTON WAY, CAMPBELLSVILLE, KY 42718-4953
(270) 789-0034
(270) 789-0097
Mailing address
505 PINEY GROVE SPUR, NANCY, KY 42544-9068
(606) 425-7093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3018723
KY
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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