Individual
KERRY A. BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12717 SHOPS PKWY STE 500, BEE CAVE, TX 78738-6623
(512) 222-8667
Mailing address
7008 CUT PLAINS TRL, AUSTIN, TX 78726-2376
(908) 303-2143
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
010032
NY
363AM0700X
Medical Physician Assistant
Primary
PA15461
TX
Other
Enumeration date
10/31/2006
Last updated
01/08/2025
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