Individual
DR. KARI JUNE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
2400 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 257-1000
Mailing address
4701 SPRING CREEK DR, LEXINGTON, KY 40515-1523
(859) 979-1698
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
3008730
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
3008730
KY
Other
Enumeration date
04/04/2014
Last updated
09/25/2020
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