Individual
MR. KEITH WILLIAM BLANKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
19908 AUGUSTA DR, SUITE 1, LAWRENCEBURG, IN 47025
(812) 537-1998
(812) 537-2744
Mailing address
3357 SMOKEY MTN DR, LAWRENCEBURG, IN 47025
(812) 637-5125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003110A
IN
152W00000X
Optometrist
Primary
5197
OH
Other
Enumeration date
03/12/2007
Last updated
10/03/2007
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