Individual
KATHRYN MARIE BLACKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
731 W MARKET ST, TROY, OH 45373-3003
(425) 861-5425
Mailing address
2300 GREENLAWN DR, TROY, OH 45373-4359
(614) 546-6745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
434484
OH
363LF0000X
Family Nurse Practitioner
Primary
023364
OH
Other
Enumeration date
11/21/2018
Last updated
12/29/2021
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