Individual
MR. FARON BLAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
728 E BROADWAY ST, CAMPBELLSVILLE, KY 42718-1504
(270) 465-4047
(270) 469-9747
Mailing address
728 E BROADWAY ST, CAMPBELLSVILLE, KY 42718-1504
(270) 465-4047
(270) 469-9747
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
494
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203810955
TAX ID
KY
Enumeration date
12/11/2009
Last updated
12/11/2009
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