Individual
KAI-SHANET BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10730 BELL TUCKER LN APT 405, LOUISVILLE, KY 40241-4032
(347) 371-7000
Mailing address
10730 BELL TUCKER LN, LOUISVILLE, KY 40241-4026
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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