Individual
DR. KAILIN DANIELLE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
318 COTTONWOOD DR, RIDGELAND, MS 39157-2015
(601) 488-7025
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T-5452
MS
Other
Enumeration date
04/02/2024
Last updated
07/01/2024
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