Individual
KIMBERLEE DANIELLE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
(304) 429-3109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2021
KY
363A00000X
Physician Assistant
TC424
KY
Other
Enumeration date
09/22/2015
Last updated
07/17/2023
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