Individual
KAITLYN MARIE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS020291
PA
Other
Enumeration date
03/28/2017
Last updated
07/01/2021
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