Individual
KYLE SCOTT BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9821 BUCKNELL CT, HIGHLANDS RANCH, CO 80129-4394
(580) 399-2203
Mailing address
9821 BUCKNELL CT, HIGHLANDS RANCH, CO 80129-4394
(580) 399-2203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN762450
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.1001633-NP
CO
Other
Enumeration date
11/10/2025
Last updated
03/04/2026
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