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Individual

KARI BLANKENHORN KIRIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
115 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4400
(252) 744-3987
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4571
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699010504
NC
01
1849J
BCBS NC
NC
Enumeration date
12/04/2012
Last updated
01/31/2025
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