Individual
TRINITY JARED BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
10755 N US HIGHWAY 25E, GRAY, KY 40734-7099
(606) 258-8050
Mailing address
164 MICHIGAN AVE, HINKLE, KY 40953-5800
(606) 269-4195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4052595
KY
207QA0000X
Adolescent Medicine (Family Medicine) Physician
4052595
KY
207QA0505X
Adult Medicine Physician
4052595
KY
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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